Samantha Marie Carter, FNP-C | |
100 Main Ave, Logan, WV 25601-3323 | |
(304) 896-2553 | |
Not Available |
Full Name | Samantha Marie Carter |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 100 Main Ave, Logan, 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 |
---|---|---|---|
1275212748 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 117104 (West Virginia) | Primary |
Entity Name | Living Waters Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114585619 PECOS PAC ID: 2769711019 Enrollment ID: O20190911002098 |
Mailing Address | Practice Location Address |
---|---|
Samantha Marie Carter, FNP-C 100 Main Ave, Logan, WV 25601-3323 Ph: (304) 896-2553 | Samantha Marie Carter, FNP-C 100 Main Ave, Logan, WV 25601-3323 Ph: (304) 896-2553 |
Timothy M Reed, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1188 | |
Mrs. Amber Ellis, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 Stollings Ave, Suite 3, Logan, WV 25601 Phone: 304-752-4594 | |
Jenna Marie Hager, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 77 Hospital Dr, Logan, WV 25601 Phone: 304-896-5200 Fax: 304-896-5300 | |
William Ray Watkins Jr., RN, MSN, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 214 Hanging Rock Hwy, Logan, WV 25601 Phone: 304-784-5404 | |
Takara Leeann Muncy, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 174 Lmah Center Rd, Logan, WV 25601 Phone: 304-792-7130 Fax: 304-792-7146 | |
Mr. Printess John Lawrence, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Prosperity Lane, Suite 100, Logan, WV 25601 Phone: 304-831-0073 Fax: 304-831-0471 | |
Patsy Eugenie Stoots, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1101 |