Wayt Health Care, Pllc | |
1612 Wheeling Ave Glen Dale WV 26038-1734 | |
(304) 845-5700 | |
(304) 845-7400 |
Full Name | Wayt Health Care, Pllc |
---|---|
Speciality | Family Medicine |
Location | 1612 Wheeling Ave, Glen Dale, West Virginia |
Authorized Official Name and Position | Michael Timothy Wayt (MEMBER) |
Authorized Official Contact | 3048455700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Wayt Health Care, Pllc 1612 Wheeling Ave Glen Dale WV 26038-1734 Ph: (304) 845-5700 | Wayt Health Care, Pllc 1612 Wheeling Ave Glen Dale WV 26038-1734 Ph: (304) 845-5700 |
NPI Number | 1952596769 |
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Provider Enumeration Date | 09/14/2007 |
Last Update Date | 12/31/2009 |
Medicare PECOS PAC ID | 8022192897 |
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Medicare Enrollment ID | O20080304000023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952596769 | NPI | - | NPPES |
0047663000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 18396 (West Virginia) | Primary |
Provider Name | Michael Wayt |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639164684 PECOS PAC ID: 8921183765 Enrollment ID: I20110627000494 |
Provider Name | Heather Ann O'shea |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861480378 PECOS PAC ID: 9830274679 Enrollment ID: I20140428000512 |
Provider Name | Marissa Anne Duplaga |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871060343 PECOS PAC ID: 6204178452 Enrollment ID: I20190508002225 |
Carlos C. Jimenez Md Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-1331 Fax: 304-845-9152 | |
Dr Zaveen A Kureishy Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 426 8th St, Suite 102, Glen Dale, WV 26038 Phone: 304-845-8444 Fax: 304-845-8446 | |
Medstrat Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 426 8th St, Suite 305, Glen Dale, WV 26038 Phone: 304-458-5041 | |
Glen Dale Medicine & Pediatrics, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-1500 Fax: 304-845-1552 | |
Reynolds Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 426 8th St Ste 300, Glen Dale, WV 26038 Phone: 304-845-3560 | |
David M. Nally, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 426 8th St, Suite 201, Glen Dale, WV 26038 Phone: 304-845-4340 |