Tressa Bonasso, | |
23 Tresara Dr, Fairmont, WV 26554-8837 | |
(304) 694-5898 | |
Not Available |
Full Name | Tressa Bonasso |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 23 Tresara Dr, Fairmont, 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 |
---|---|---|---|
1124611454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 106662 (West Virginia) | Primary |
Entity Name | West Virginia University Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
Mailing Address | Practice Location Address |
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Tressa Bonasso, 23 Tresara Dr, Fairmont, WV 26554-8837 Ph: (304) 694-5898 | Tressa Bonasso, 23 Tresara Dr, Fairmont, WV 26554-8837 Ph: (304) 694-5898 |
Kathryn Nicole Preast, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1325 Locust Ave, Fairmont, WV 26554 Phone: 814-494-2542 | |
Sariah Dale Waldron, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1322 Locust Ave, Fairmont, WV 26554 Phone: 304-366-0700 | |
Therese Danielle Prosser, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1322 Locust Ave, Fairmont, WV 26554 Phone: 304-366-0700 | |
Chelsy N Harmer, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Huntington Way Ste 100, Fairmont, WV 26554 Phone: 304-366-6100 | |
Amber Sinclaire Weaver, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1044 Hite Cir, Fairmont, WV 26554 Phone: 304-476-8497 Fax: 772-238-2080 | |
Tyonna Marie Jones, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Stoney Hill Rd, Fairmont, WV 26554 Phone: 304-333-8840 |