| South Branch Hospitalist And Internal Medicine Group Pllc | |
|
65 Hospital Dr Ste 102 Petersburg WV 26847-9549 | |
| (304) 257-2527 | |
| (304) 257-1469 |
| Full Name | South Branch Hospitalist And Internal Medicine Group Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 65 Hospital Dr Ste 102, Petersburg, West Virginia |
| Authorized Official Name and Position | Caroline Armstrong (PHYSICIAN) |
| Authorized Official Contact | 3042572527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Branch Hospitalist And Internal Medicine Group Pllc Po Box 158 Petersburg WV 26847-0158 Ph: (304) 257-2527 | South Branch Hospitalist And Internal Medicine Group Pllc 65 Hospital Dr Ste 102 Petersburg WV 26847-9549 Ph: (304) 257-2527 |
| NPI Number | 1194232801 |
|---|---|
| Provider Enumeration Date | 01/03/2018 |
| Last Update Date | 03/22/2018 |
| Medicare PECOS PAC ID | 9032471917 |
|---|---|
| Medicare Enrollment ID | O20180314000033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194232801 | NPI | - | NPPES |
| 0084630000 | Medicaid | WV | |
| 3910007251 | Medicaid | WV | |
| 0075837000 | Medicaid | WV | |
| 3910000537 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (West Virginia) | Primary |
| 208M00000X | Hospitalist | (West Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (West Virginia) | Secondary |
| Provider Name | Bruce W Leslie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457455958 PECOS PAC ID: 2163689175 Enrollment ID: I20120202000634 |
| Provider Name | Stephen C Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447354956 PECOS PAC ID: 5395902290 Enrollment ID: I20120203000699 |
| Provider Name | Caroline Ayer Armstrong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265758585 PECOS PAC ID: 5092968776 Enrollment ID: I20130521000188 |
| Provider Name | Benjamin C. Leslie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902165228 PECOS PAC ID: 4789901760 Enrollment ID: I20150401000686 |
| Provider Name | Heather J Barger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760906838 PECOS PAC ID: 2466728209 Enrollment ID: I20171024001484 |
| Provider Name | Jill Elaine Landis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114413960 PECOS PAC ID: 9133473671 Enrollment ID: I20181119002862 |
| Provider Name | Langley Anne Regester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104453935 PECOS PAC ID: 0143633255 Enrollment ID: I20230707003503 |
Petersburg High School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 Viking Dr, Petersburg, WV 26847 Phone: 304-257-1444 Fax: 304-897-6216 | |
Bensenhaver Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Dr Ste 1, Petersburg, WV 26847 Phone: 304-257-1944 Fax: 304-257-9524 | |
Petersburg Elementary School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 333 Rig St, Petersburg, WV 26847 Phone: 304-257-1110 Fax: 304-897-6216 | |
Dewey F Bensenhaver Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Hc 30 Box 95, Petersburg, WV 26847 Phone: 304-257-1456 | |
Grant Memorial Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 Hospital Dr, Petersburg, WV 26847 Phone: 304-257-4331 Fax: 304-257-2891 | |
Potomac Valley Physicians For Women Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Hospital Drive, Petersburg, WV 26847 Phone: 304-257-2152 Fax: 304-257-2928 |