Lydia Smith, FNP-BC | |
112 Quarterhorse Dr, Scott Depot, WV 25560-9684 | |
(304) 685-1901 | |
Not Available |
Full Name | Lydia Smith |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 112 Quarterhorse Dr, Scott Depot, 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 |
---|---|---|---|
1235415217 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN63888 (West Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 63888 (West Virginia) | Primary |
Entity Name | Preston Urgent Care Family Practice, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720358252 PECOS PAC ID: 9830366624 Enrollment ID: O20120119000167 |
Entity Name | Country Roads Housecalls |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053936377 PECOS PAC ID: 0244654739 Enrollment ID: O20200716002026 |
Mailing Address | Practice Location Address |
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Lydia Smith, FNP-BC 112 Quarterhorse Dr, Scott Depot, WV 25560-9684 Ph: () - | Lydia Smith, FNP-BC 112 Quarterhorse Dr, Scott Depot, WV 25560-9684 Ph: (304) 685-1901 |
Ms. Breann Hawley Thomas, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 97 Great Teays Blvd, Suite 6, Scott Depot, WV 25560 Phone: 304-757-6999 Fax: 304-201-5019 | |
James Nottingham, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Corporate Center Drive, Scott Depot, WV 25560 Phone: 304-691-6800 | |
Mrs. Dawn Lynn Grigsby, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 97 Great Teays Blvd, Ste 6, Scott Depot, WV 25560 Phone: 304-757-6999 Fax: 304-757-3252 | |
Annette Gaskins, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 97 Great Teays Blvd, Suite 6, Scott Depot, WV 25560 Phone: 304-757-6999 Fax: 304-757-3252 | |
Jessica Allen, APRN-FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 Great Teays Blvd, Scott Depot, WV 25560 Phone: 304-757-8459 Fax: 304-757-6904 | |
Gina Lee Lathey, APRN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Corporate Center Drive, Scott Depot, WV 25560 Phone: 304-691-6800 |