Lisa Summers, FNP | |
408 Alexander Street, Cedar Grove, OH 25309 | |
(304) 595-1770 | |
(304) 595-3298 |
Full Name | Lisa Summers |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 408 Alexander Street, Cedar Grove, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093190431 | NPI | - | NPPES |
1093190431 | Medicaid | WV | |
0287208 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71874 (West Virginia) | Primary |
Entity Name | Charleston Area Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
Entity Name | Valley Health Systems, Inc |
---|---|
Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1902962368 PECOS PAC ID: 9931017969 Enrollment ID: O20040325000411 |
Entity Name | Valley Health Systems, Inc |
---|---|
Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1548542277 PECOS PAC ID: 9931017969 Enrollment ID: O20130415000484 |
Entity Name | Valley Health Systems, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659769776 PECOS PAC ID: 9931017969 Enrollment ID: O20151015002625 |
Entity Name | Valley Health Systems, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881054476 PECOS PAC ID: 9931017969 Enrollment ID: O20160627002459 |
Entity Name | Valley Health Systems, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659733293 PECOS PAC ID: 9931017969 Enrollment ID: O20160824002521 |
Entity Name | Valley Health Systems, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013577303 PECOS PAC ID: 9931017969 Enrollment ID: O20200407002573 |
Mailing Address | Practice Location Address |
---|---|
Lisa Summers, FNP 2585 3rd Ave, Huntington, WV 25703-1642 Ph: (304) 697-1396 | Lisa Summers, FNP 408 Alexander Street, Cedar Grove, OH 25309 Ph: (304) 595-1770 |