New Creek Family Medicine Pllc | |
1234 New Creek Hwy Keyser WV 26726-9505 | |
(304) 788-9320 | |
(304) 788-9320 |
Full Name | New Creek Family Medicine Pllc |
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Speciality | Family Medicine |
Location | 1234 New Creek Hwy, Keyser, West Virginia |
Authorized Official Name and Position | William Scott Thomas (PHSICIAN/OWNER) |
Authorized Official Contact | 3047889320 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Creek Family Medicine Pllc 1234 New Creek Hwy Keyser WV 26726-9505 Ph: (304) 788-9320 | New Creek Family Medicine Pllc 1234 New Creek Hwy Keyser WV 26726-9505 Ph: (304) 788-9320 |
NPI Number | 1013331396 |
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Provider Enumeration Date | 02/07/2014 |
Last Update Date | 05/05/2015 |
Medicare PECOS PAC ID | 6305064189 |
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Medicare Enrollment ID | O20140820002751 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013331396 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 21506 (West Virginia) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 57703 (West Virginia) | Secondary |
Provider Name | William S Thomas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013945278 PECOS PAC ID: 6901809383 Enrollment ID: I20060825000141 |
Provider Name | Marie A Del Signore |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013330729 PECOS PAC ID: 8820310337 Enrollment ID: I20141210002569 |
Provider Name | Amy S Ratke |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376082354 PECOS PAC ID: 2264843754 Enrollment ID: I20201207000476 |
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