Ms Heather Dawn Petry, APRN | |
103 Randolph Ave Ste 193, Elkins, WV 26241-4067 | |
(669) 490-1088 | |
(304) 925-1343 |
Full Name | Ms Heather Dawn Petry |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 103 Randolph Ave Ste 193, Elkins, 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 |
---|---|---|---|
1427464148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN70678 (West Virginia) | Primary |
363LF0000X | Nurse Practitioner - Family | 70678 (West Virginia) | Secondary |
Entity Name | Centerwell Senior Primary Care Sc Jv Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962101501 PECOS PAC ID: 5294190252 Enrollment ID: O20230426000585 |
Mailing Address | Practice Location Address |
---|---|
Ms Heather Dawn Petry, APRN 50 S B B King Blvd, Memphis, TN 38103-2626 Ph: (866) 949-0108 | Ms Heather Dawn Petry, APRN 103 Randolph Ave Ste 193, Elkins, WV 26241-4067 Ph: (669) 490-1088 |
Anna Foster, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 911 Gorman Ave. #201, Elkins, WV 26241 Phone: 304-637-6302 | |
Mrs. Brenda Ann Mason, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 169 Diamond St, Elkins, WV 26241 Phone: 304-864-6306 Fax: 304-864-6306 | |
Aaron Casto, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 812 Gorman Ave, Elkins, WV 26241 Phone: 304-636-3300 | |
Taylor Lindsey Mcdonald, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Chenoweth Creek Rd, Elkins, WV 26241 Phone: 304-637-5006 | |
Katherine Robbins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 812 Gorman Ave, Elkins, WV 26241 Phone: 304-636-3300 | |
Lisa A Davis, C-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 812 Gorman Ave, Elkins, WV 26241 Phone: 304-636-3300 | |
Suzan Lewil, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 240 Allegheny Hwy, Elkins, WV 26241 Phone: 304-636-0133 |