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 |
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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 |
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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 |
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Provider Enumeration Date | 02/20/2024 |
Last Update Date | 05/07/2024 |
Medicare PECOS PAC ID | 8224478136 |
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Medicare Enrollment ID | O20240425002017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215792155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Ana Hubert |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528370897 PECOS PAC ID: 6406080613 Enrollment ID: I20220316000946 |
Provider Name | Nicole Tiefel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326438599 PECOS PAC ID: 8123392586 Enrollment ID: I20230110000235 |
Provider Name | Bernetta Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619487303 PECOS PAC ID: 5799024246 Enrollment ID: I20230202001642 |
Provider Name | Carissa 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 Denise Desire |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568180594 PECOS PAC ID: 6204203391 Enrollment ID: I20240427000021 |
Provider Name | Jennifer Elizabeth Jaris Weaver |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821012923 PECOS PAC ID: 0345200085 Enrollment ID: I20240429000325 |
Provider Name | Tiffany Monique 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 |
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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 |
Provider Name | Georgianne Allen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447736277 PECOS PAC ID: 5890026215 Enrollment ID: I20240624003780 |
Provider Name | Alison Gettman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760665855 PECOS PAC ID: 7113940289 Enrollment ID: I20240724003922 |
Provider Name | Chassidy Sharp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720475767 PECOS PAC ID: 8022322288 Enrollment ID: I20240823000311 |
Provider Name | Lisa M Sanko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356891790 PECOS PAC ID: 3971883919 Enrollment ID: I20240926000543 |
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 | |
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 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 |