| West End Medical Pllc | |
|
164 Parkview Dr Keyser WV 26726-2313 | |
| (304) 597-2494 | |
| (304) 597-2497 |
| Full Name | West End Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 164 Parkview Dr, Keyser, West Virginia |
| Authorized Official Name and Position | Jennifer Huff (OFFICE MANAGER) |
| Authorized Official Contact | 3045972499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West End Medical Pllc 164 Parkview Dr Keyser WV 26726-2313 Ph: (304) 597-2494 | West End Medical Pllc 164 Parkview Dr Keyser WV 26726-2313 Ph: (304) 597-2494 |
| NPI Number | 1871875021 |
|---|---|
| Provider Enumeration Date | 09/14/2011 |
| Last Update Date | 01/14/2022 |
| Medicare PECOS PAC ID | 5597159756 |
|---|---|
| Medicare Enrollment ID | O20220303002513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871875021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23330 (West Virginia) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Melissa D Graves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891907549 PECOS PAC ID: 4486791035 Enrollment ID: I20091030000099 |
| Provider Name | Breana Leigh Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902465925 PECOS PAC ID: 9133458912 Enrollment ID: I20190903002837 |
| Provider Name | Cortney Nicole Riden |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114150323 PECOS PAC ID: 8123280609 Enrollment ID: I20220809000505 |
| Provider Name | Mandi Wilt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164120242 PECOS PAC ID: 6406216001 Enrollment ID: I20230713004248 |
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