Ms Theresa Ann Black, FNP-BC | |
11 N Locust St, Buckhannon, WV 26201-4707 | |
(304) 472-1600 | |
Not Available |
Full Name | Ms Theresa Ann Black |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 18 Years |
Location | 11 N Locust St, Buckhannon, 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 |
---|---|---|---|
1790982080 | NPI | - | NPPES |
3810009382 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 49062 (West Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 49062 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Davis Medical Center | Elkins, WV | Hospital |
St Joseph's Hospital | Buckhannon, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Davis Memorial Hospital | 3072418540 | 69 |
Entity Name | Davis Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619964806 PECOS PAC ID: 3072418540 Enrollment ID: O20040107000438 |
Mailing Address | Practice Location Address |
---|---|
Ms Theresa Ann Black, FNP-BC 812 Gorman Avenue, Elkins, WV 26241 Ph: (304) 637-3456 | Ms Theresa Ann Black, FNP-BC 11 N Locust St, Buckhannon, WV 26201-4707 Ph: (304) 472-1600 |
Charleen Nicole Robinson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Northridge Dr Ste 118, Buckhannon, WV 26201 Phone: 304-473-1440 Fax: 304-473-1441 | |
Amanda Jones, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Amalia Dr, Buckhannon, WV 26201 Phone: 304-473-2199 Fax: 304-473-2198 | |
Mrs. Bonnie Jo Smith, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 59 College Avenue, Barnhart Memorial Student Health Center West Virginia W, Buckhannon, WV 26201 Phone: 304-473-8100 Fax: 304-473-8200 | |
Amelia Roxie Barberio, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Amalia Dr, Buckhannon, WV 26201 Phone: 304-473-2000 | |
Kay Carpenter, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Amalia Dr, Buckhannon, WV 26201 Phone: 304-460-7979 | |
Amy R Coffman, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21 Auction Ln, Buckhannon, WV 26201 Phone: 304-472-6041 Fax: 304-472-4371 | |
Mrs. Jennifer Abel, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Amalia Dr, Buckhannon, WV 26201 Phone: 304-473-2305 Fax: 304-473-2314 |