Lori Flis, CNP | |
302 W Main Street, Gulf Family Practice Ii, Sophia, WV 25921 | |
(304) 683-4304 | |
(304) 683-4307 |
Full Name | Lori Flis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 302 W Main Street, Sophia, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154457117 | NPI | - | NPPES |
3810011082 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 45370 (West Virginia) | Primary |
Entity Name | Carelon Medical Partners, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20160303000018 |
Mailing Address | Practice Location Address |
---|---|
Lori Flis, CNP Po Box 337, Scarbro, WV 25917-0337 Ph: (304) 469-2905 | Lori Flis, CNP 302 W Main Street, Gulf Family Practice Ii, Sophia, WV 25921 Ph: (304) 683-4304 |
Tammy R Smith, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 Main Street, Gulf Family Practice, Sophia, WV 25921 Phone: 304-683-4304 Fax: 304-683-4307 | |
Terri L. Schuetz, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 302 W Main Street, Sophia, WV 25921 Phone: 304-683-3809 Fax: 304-683-5761 | |
Samantha J Miller, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 833 Robert C Byrd Drive, Sophia, WV 25921 Phone: 304-683-2022 Fax: 304-683-2024 |