| Jefferson Urgent Care | |
|
84 Somerset Blvd Charles Town WV 25414-4827 | |
| (304) 728-8543 | |
| (304) 728-8644 |
| Full Name | Jefferson Urgent Care |
|---|---|
| Speciality | General Practice |
| Location | 84 Somerset Blvd, Charles Town, West Virginia |
| Authorized Official Name and Position | Sean Patrick Rhoads (OWNER) |
| Authorized Official Contact | 3047288543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Urgent Care 84 Somerset Blvd Charles Town WV 25414-4827 Ph: (304) 728-8543 | Jefferson Urgent Care 84 Somerset Blvd Charles Town WV 25414-4827 Ph: (304) 728-8543 |
| NPI Number | 1992726236 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 04/02/2020 |
| Medicare PECOS PAC ID | 7315859535 |
|---|---|
| Medicare Enrollment ID | O20031105000141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992726236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Shannon K Bentley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033179817 PECOS PAC ID: 2264489376 Enrollment ID: I20060123000481 |
| Provider Name | Peggy L Carlson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285955732 PECOS PAC ID: 5193628196 Enrollment ID: I20111005000949 |
| Provider Name | Melissa M Leplatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861713356 PECOS PAC ID: 9739323353 Enrollment ID: I20130923000381 |
| Provider Name | Jason Bryce Swalm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962745950 PECOS PAC ID: 6800198516 Enrollment ID: I20160805000263 |
| Provider Name | Jean L Bridwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104992965 PECOS PAC ID: 0446591929 Enrollment ID: I20190410001180 |
| Provider Name | Cathi Virginia George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508027707 PECOS PAC ID: 8022176932 Enrollment ID: I20200701001897 |
| Provider Name | Carlyn M Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306496856 PECOS PAC ID: 9133554405 Enrollment ID: I20220112002653 |
| Provider Name | Ashlyn S Andres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730581307 PECOS PAC ID: 5799090171 Enrollment ID: I20220421002628 |
West Virginia University Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Somerset Blvd Ste 100, Charles Town, WV 25414 Phone: 304-728-9797 Fax: 304-728-9791 | |
University Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 912 Somerset Blvd, Ste 102, Charles Town, WV 25414 Phone: 304-725-2273 Fax: 304-724-0053 | |
Shenandoah Valley Medical System,inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 44 Trifecta Pl Ste 205, Charles Town, WV 25414 Phone: 304-728-3716 Fax: 304-278-3740 |