Summere Herndon, CPNP-PC is a
Nurse Practitioner - Pediatrics based in New Creek, West Virginia. Summere Herndon is licensed to practice in Maryland (license number R189527) and her current practice location is
81 Autumn Leaf Drive, New Creek, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 788-7733.
NPI number for Summere Herndon is 1467827550 and her current mailing address is Po Box 12, 81 Autumn Leaf Drive, New Creek, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467827550.
Provider's Profile
Full Name | Summere Herndon |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 81 Autumn Leaf Drive, New Creek, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467827550
- Provider Enumeration Date: 12/01/2015
- Last Update Date: 02/18/2016
Medical Identifiers
Medical identifiers for Summere Herndon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467827550 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0200X | Nurse Practitioner - Pediatrics | R189527 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Summere Herndon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Summere Herndon, CPNP-PC Po Box 12, 81 Autumn Leaf Drive, New Creek, WV 26743-0012 Ph: (304) 788-7733 | Summere Herndon, CPNP-PC 81 Autumn Leaf Drive, New Creek, WV 26743-0012 Ph: (304) 788-7733 |
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