| Envision Medical Care, Llc | |
|
111 Court St S Ste B Ripley WV 25271-1408 | |
| (304) 372-1030 | |
| Not Available |
| Full Name | Envision Medical Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 111 Court St S Ste B, Ripley, West Virginia |
| Authorized Official Name and Position | J Clay (CEO) |
| Authorized Official Contact | 3043721030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Envision Medical Care, Llc 111 Court St S Ste B Ripley WV 25271-1408 Ph: (304) 372-1030 | Envision Medical Care, Llc 111 Court St S Ste B Ripley WV 25271-1408 Ph: (304) 372-1030 |
| NPI Number | 1194338244 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 12/02/2021 |
| Medicare PECOS PAC ID | 3971901836 |
|---|---|
| Medicare Enrollment ID | O20230126000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194338244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Secondary |
| Provider Name | Jami Kay Clay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326526807 PECOS PAC ID: 1052657665 Enrollment ID: I20190117002588 |
| Provider Name | Allison Ashley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497394290 PECOS PAC ID: 8820446933 Enrollment ID: I20231130001332 |
| Provider Name | Debora Lynn Wells |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699864793 PECOS PAC ID: 2163820093 Enrollment ID: I20231221003067 |
Jackson General Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Church St S, Ripley, WV 25271 Phone: 304-372-2731 | |
Ripley Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 512a South Church Street, Ripley, WV 25271 Phone: 304-372-1033 Fax: 304-372-0223 | |
Brandon Cestaric Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rr 1 Box 62a, Ripley, WV 25271 Phone: 304-373-0280 Fax: 304-373-0281 | |
James Gaal Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 158 Pinnell St, Ripley, WV 25271 Phone: 304-372-4402 | |
Jackson General Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Academy Drive, Ripley, WV 25271 Phone: 304-372-2731 Fax: 304-372-2749 | |
Main Street Medical Center, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 Main St W, Ripley, WV 25271 Phone: 304-372-8088 |