Sara Brock, | |
46 Town Center Plz Ste A, Mill Creek, WV 26280-9752 | |
(304) 636-0133 | |
Not Available |
Full Name | Sara Brock |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 46 Town Center Plz Ste A, Mill Creek, 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 |
---|---|---|---|
1336604941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN6723-NP-C (West Virginia) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN67253 (West Virginia) | Primary |
Entity Name | Valley Health Care Inc |
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Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1801861083 PECOS PAC ID: 6305878034 Enrollment ID: O20050902000096 |
Mailing Address | Practice Location Address |
---|---|
Sara Brock, Po Box 247, Mill Creek, WV 26280-0247 Ph: (304) 636-0133 | Sara Brock, 46 Town Center Plz Ste A, Mill Creek, WV 26280-9752 Ph: (304) 636-0133 |
Heather R Ritchie, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 46 Town Center Plz Ste A, Mill Creek, WV 26280 Phone: 304-335-2050 | |
Sierra Nicole Bennett, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46 Town Center Plz Ste A, Mill Creek, WV 26280 Phone: 304-335-2050 | |
Donielle Suzanne Teter, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Us Rt 219/250, Mill Creek, WV 26280 Phone: 304-335-2050 Fax: 304-335-6158 | |
Andrea Pierpont Justice, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Rte 219 & 250, Mill Creek, WV 26280 Phone: 443-858-4265 |