Tina L Waugh, APRN is a medicare enrolled "Nurse Practitioner - Primary Care" in Paw Paw, West Virginia. Her current practice location is
783 Winchester St, Paw Paw, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 947-5500.
Tina L Waugh is licensed to practice in West Virginia (license number APRN94035-NP-C) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639693468.
Provider's Profile
| Full Name | Tina L Waugh |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Primary Care |
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| Location | 783 Winchester St, Paw Paw, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1639693468
- Provider Enumeration Date: 08/02/2017
- Last Update Date: 08/02/2017
Medicare PECOS Information:
- PECOS PAC ID: 3375800824
- Enrollment ID: I20171208000420
Medical Identifiers
Medical identifiers for Tina L Waugh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639693468 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP2300X | Nurse Practitioner - Primary Care | APRN94035-NP-C (West Virginia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tina L Waugh allows following entities to bill medicare on her behalf.
| Entity Name | Mountaineer Community Health Center, Inc. |
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| Entity Type | Part B Supplier - Public Health/welfare Agency |
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| Entity Identifiers | NPI Number: 1033299862
PECOS PAC ID: 2769552504
Enrollment ID: O20080605000019 |
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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. Tina L Waugh is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Tina L Waugh, APRN
Po Box 2,
Paw Paw, WV 25434-0002
Ph: (304) 947-5500 | Tina L Waugh, APRN
783 Winchester St,
Paw Paw, WV 25434
Ph: (304) 947-5500 |
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