Lifetree Medical Services, Llc | |
462 Kenmore Dr Danville WV 25053-7133 | |
(304) 369-0986 | |
Not Available |
Full Name | Lifetree Medical Services, Llc |
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Speciality | Nurse Practitioner |
Location | 462 Kenmore Dr, Danville, West Virginia |
Authorized Official Name and Position | Todd R Jones (PRESIDENT) |
Authorized Official Contact | 3043441623 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lifetree Medical Services, Llc Po Box 280 Cabin Creek WV 25035-0280 Ph: (304) 556-1060 | Lifetree Medical Services, Llc 462 Kenmore Dr Danville WV 25053-7133 Ph: (304) 369-0986 |
NPI Number | 1487178331 |
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Provider Enumeration Date | 08/02/2017 |
Last Update Date | 03/15/2022 |
Medicare PECOS PAC ID | 8426314667 |
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Medicare Enrollment ID | O20171103002876 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487178331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
Provider Name | Christopher Edward Bowman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649231606 PECOS PAC ID: 4789660820 Enrollment ID: I20040628001623 |
Provider Name | Edna Pauline Hisiro |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922145614 PECOS PAC ID: 9537188578 Enrollment ID: I20120222000624 |
Provider Name | Vickie L Powell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669721601 PECOS PAC ID: 4688828783 Enrollment ID: I20130124000453 |
Provider Name | Jaime N Torres |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295134765 PECOS PAC ID: 5092855098 Enrollment ID: I20141118000573 |
Provider Name | Angel Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811373632 PECOS PAC ID: 9830409812 Enrollment ID: I20151103001493 |
Provider Name | Cami Lynn Maxwell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801330915 PECOS PAC ID: 4880963313 Enrollment ID: I20170627000979 |
Provider Name | Tamera Beth Ball |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912556507 PECOS PAC ID: 7719316249 Enrollment ID: I20200406000506 |
Provider Name | Kendall Lambert |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891370607 PECOS PAC ID: 9335556661 Enrollment ID: I20210401001304 |
Bmh Danville Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 4th Street, Danville, WV 25053 Phone: 304-369-8839 | |
Kesari Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 163 Prichard Rd, Danville, WV 25053 Phone: 304-369-4290 |