| Visavis Health Care Medical Group Of Wv Pllc | |
|
1390 N Poplar Fork Rd Hurricane WV 25526-7112 | |
| (929) 491-7333 | |
| Not Available |
| Full Name | Visavis Health Care Medical Group Of Wv Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1390 N Poplar Fork Rd, Hurricane, West Virginia |
| Authorized Official Name and Position | Rekha Bhandari (OWNER) |
| Authorized Official Contact | 2127346621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visavis Health Care Medical Group Of Wv Pllc 831 Bedford Ave Ste 530 Brooklyn NY 11205-2801 Ph: () - | Visavis Health Care Medical Group Of Wv Pllc 1390 N Poplar Fork Rd Hurricane WV 25526-7112 Ph: (929) 491-7333 |
| NPI Number | 1215792155 |
|---|---|
| Provider Enumeration Date | 02/20/2024 |
| Last Update Date | 05/07/2024 |
| Medicare PECOS PAC ID | 8224478136 |
|---|---|
| Medicare Enrollment ID | O20240425002017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215792155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Carissa Marie Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821307646 PECOS PAC ID: 2264627132 Enrollment ID: I20230825003431 |
| Provider Name | Jenna Michelle Koepke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851848352 PECOS PAC ID: 8426346826 Enrollment ID: I20240426000627 |
| Provider Name | Jasmine Marshall-anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205504180 PECOS PAC ID: 8426435454 Enrollment ID: I20240426000735 |
| Provider Name | Irmalynn Mooneyham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225470057 PECOS PAC ID: 4880838440 Enrollment ID: I20240426001079 |
| Provider Name | Arianna Sanborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225508203 PECOS PAC ID: 6709123722 Enrollment ID: I20240426001852 |
| Provider Name | Deanna Desire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568180594 PECOS PAC ID: 6204203391 Enrollment ID: I20240427000021 |
| Provider Name | Jennifer Jaris Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821012923 PECOS PAC ID: 0345200085 Enrollment ID: I20240429000325 |
| Provider Name | Tiffany Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831842202 PECOS PAC ID: 0749666345 Enrollment ID: I20240501004165 |
| Provider Name | Tiffany Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659819944 PECOS PAC ID: 0941578058 Enrollment ID: I20240501004174 |
| Provider Name | Jessica Palozie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881901742 PECOS PAC ID: 6305018045 Enrollment ID: I20240506000581 |
| Provider Name | Alecia Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215496310 PECOS PAC ID: 0143650481 Enrollment ID: I20240507004471 |
| Provider Name | Bernadette Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275882292 PECOS PAC ID: 4789813767 Enrollment ID: I20240508000383 |
| Provider Name | Mercedes Jane Bryce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770294340 PECOS PAC ID: 1658743398 Enrollment ID: I20240522001887 |
| Provider Name | Jerel Keith Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750843876 PECOS PAC ID: 4688008394 Enrollment ID: I20240523002784 |
| Provider Name | Jasmine Cenat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326600131 PECOS PAC ID: 9638501802 Enrollment ID: I20240612001808 |
Dr. Rick L Houdersheldt, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3705 Teays Valley Rd, Suite 202, Hurricane, WV 25526 Phone: 304-757-6990 Fax: 304-757-0912 | |
Familycare Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3911 Teays Valley Rd, Hurricane, WV 25526 Phone: 304-760-6336 Fax: 855-332-4024 | |
John M Clark Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3860 Teays Valley Rd Ste 4, Hurricane, WV 25526 Phone: 304-201-2545 Fax: 304-201-2548 | |
Emergi-care,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Hospital Dr, Hurricane, WV 25526 Phone: 304-757-8683 Fax: 304-757-8684 | |
Valley Health Hurricane Ffs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3729 Teays Valley Rd, Suite 100, Hurricane, WV 25526 Phone: 304-760-6040 Fax: 304-697-2086 | |
Valley Health Teays Valley - Ffs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Hospital Dr, Hurricane, WV 25526 Phone: 304-757-8683 Fax: 304-757-8684 | |
Putnam Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 Suite B Teays Valley Rd, Hurricane, WV 25526 Phone: 304-760-6040 Fax: 304-760-6042 |