| Kceaa Health And Wellness Clinic | |
|
601 Brooks St Charleston WV 25301-1319 | |
| (304) 346-8877 | |
| (304) 414-5218 |
| Full Name | Kceaa Health And Wellness Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 601 Brooks St, Charleston, West Virginia |
| Authorized Official Name and Position | Monica Leah Mason (EXECUTIVE DIR, CHIEF OF MED SERVICE) |
| Authorized Official Contact | 3043452312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kceaa Health And Wellness Clinic 601 Brooks St Charleston WV 25301-1319 Ph: (304) 346-8877 | Kceaa Health And Wellness Clinic 601 Brooks St Charleston WV 25301-1319 Ph: (304) 346-8877 |
| NPI Number | 1033778642 |
|---|---|
| Provider Enumeration Date | 06/07/2019 |
| Last Update Date | 08/10/2021 |
| Medicare PECOS PAC ID | 0547668337 |
|---|---|
| Medicare Enrollment ID | O20211008000536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033778642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | John Austin Turley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124004239 PECOS PAC ID: 2860447737 Enrollment ID: I20050314001145 |
| Provider Name | David E Seidler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962488072 PECOS PAC ID: 5991755019 Enrollment ID: I20060313000324 |
| Provider Name | Kellie M. Teel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679962724 PECOS PAC ID: 0840518197 Enrollment ID: I20150416001094 |
| Provider Name | Lindsay A Burdett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699158568 PECOS PAC ID: 2860792678 Enrollment ID: I20151201001145 |
| Provider Name | Monica L Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528290087 PECOS PAC ID: 4082751888 Enrollment ID: I20160928001361 |
Capitol United Support Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Quarrier St, Suite 213, Charleston, WV 25301 Phone: 304-410-9442 | |
Valley Health Systems, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 864 Oakwood Rd, Charleston, WV 25314 Phone: 304-343-2807 Fax: 304-525-3338 | |
Charleston Internal Medicine Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3701 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-720-2345 Fax: 304-720-2347 | |
Cabin Creek Health Center, Inc. At Kchd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 Lee St E, Charleston, WV 25301 Phone: 304-734-2040 Fax: 304-734-2047 | |
Valley Health Systems, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Laidley St Fl 6, Charleston, WV 25301 Phone: 304-347-6500 Fax: 304-525-3338 | |
Hope For Tomorrow, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2152 Greenbrier St, Charleston, WV 25311 Phone: 304-857-6494 Fax: 214-850-9018 |