Timothy Maynard, | |
402 C Street, Ceredo, WV 25507 | |
(304) 908-1204 | |
(304) 908-1224 |
Full Name | Timothy Maynard |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 402 C Street, Ceredo, West Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942618657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3008802 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Stonerise At Home | Barboursville, WV | Home health agency |
Hospice Of Huntington | Huntington, WV | Hospice |
St Mary's Medical Center | Huntington, WV | Hospital |
Cabell Huntington Hospital Inc | Huntington, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oncall Health And Aesthetic Care | 9638472525 | 7 |
Entity Name | Midland Behavioral Health, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790080307 PECOS PAC ID: 6406030527 Enrollment ID: O20110413000702 |
Entity Name | Oncall Health And Aesthetic Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679944383 PECOS PAC ID: 9638472525 Enrollment ID: O20160127001411 |
Mailing Address | Practice Location Address |
---|---|
Timothy Maynard, Po Box 4100, Barboursville, WV 25504-4100 Ph: (304) 908-1204 | Timothy Maynard, 402 C Street, Ceredo, WV 25507 Ph: (304) 908-1204 |
Jodi Silva-dutey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 402 C Street, Ceredo, WV 25507 Phone: 304-908-1204 Fax: 304-908-1224 |