| Lisa Queen, NP | |
|
7400 Lynn Ave, Hamlin, WV 25523-1138 | |
| (304) 824-5806 | |
| (304) 824-5885 |
| Full Name | Lisa Queen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 7400 Lynn Ave, Hamlin, West Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992925648 | NPI | - | NPPES |
| 1071586 | Other | WV | WV DWC |
| 3810021657 | Medicaid | WV | |
| 001984820 | Other | WV | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 49029 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lincoln County Primary Care Center Inc | 6204821879 | 22 |
| Entity Name | Lincoln County Primary Care Center Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1942274543 PECOS PAC ID: 6204821879 Enrollment ID: O20040415000138 |
| Entity Name | Lincoln County Primary Care Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457610594 PECOS PAC ID: 6204821879 Enrollment ID: O20121005000142 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Queen, NP 1563 Sand Plant Rd, South Charleston, WV 25309-6120 Ph: (304) 756-1500 | Lisa Queen, NP 7400 Lynn Ave, Hamlin, WV 25523-1138 Ph: (304) 824-5806 |
Jacqueline C. Ranson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7400 Lynn Ave, Hamlin, WV 25523 Phone: 304-824-5806 Fax: 304-824-5804 | |
Alexis Marie Jones, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7400 Lynn Ave, Hamlin, WV 25523 Phone: 304-824-5707 Fax: 304-824-5804 | |
Lisa Adkins, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7400 Lynn Ave, Hamlin, WV 25523 Phone: 304-824-5806 Fax: 304-824-5804 | |
Joan Gallion, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7400 Lynn Ave, Hamlin, WV 25523 Phone: 304-824-5806 Fax: 304-824-5804 | |
Rebel Renea Christian, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7400 Lynn Ave, Hamlin, WV 25523 Phone: 304-824-5806 Fax: 304-824-5885 | |
Leanna Carlyn Profitt, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7400 Lynn Ave, Hamlin, WV 25523 Phone: 304-824-5806 Fax: 304-824-5804 | |
Michelle Justice, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7400 Lynn Ave, Hamlin, WV 25523 Phone: 304-824-5806 Fax: 304-824-5804 |