Mary Jane Phipps, FNP | |
202 Larry Joe Harless Dr, Gilbert, WV 25621 | |
(304) 664-6270 | |
(304) 664-6272 |
Full Name | Mary Jane Phipps |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 14 Years |
Location | 202 Larry Joe Harless Dr, Gilbert, 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 |
---|---|---|---|
1396053484 | NPI | - | NPPES |
3810021064 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 50819 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Dignity Home Health | Chapmanville, WV | Home health agency |
Logan Regional Medical Center | Logan, 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 |
Entity Name | Lincoln County Primary Care Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720586472 PECOS PAC ID: 6204821879 Enrollment ID: O20180703001013 |
Mailing Address | Practice Location Address |
---|---|
Mary Jane Phipps, FNP 7400 Lynn Ave, Hamlin, WV 25523-1138 Ph: (304) 824-5806 | Mary Jane Phipps, FNP 202 Larry Joe Harless Dr, Gilbert, WV 25621 Ph: (304) 664-6270 |
Sharon G Davis, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 202 Larry Joe Harless Dr., Gilbert, WV 25621 Phone: 304-664-6270 Fax: 304-664-6272 |