| Wellbe Medical Group Of West Virginia Inc | |
|
1506 Kanawha Blvd W Charleston WV 25387-2533 | |
| (312) 776-2410 | |
| Not Available |
| Full Name | Wellbe Medical Group Of West Virginia Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1506 Kanawha Blvd W, Charleston, West Virginia |
| Authorized Official Name and Position | Jeffrey Kang (PRESIDENT) |
| Authorized Official Contact | 3127762412 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellbe Medical Group Of West Virginia Inc 225 W Washington St Ste 1500 Chicago IL 60606-3485 Ph: () - | Wellbe Medical Group Of West Virginia Inc 1506 Kanawha Blvd W Charleston WV 25387-2533 Ph: (312) 776-2410 |
| NPI Number | 1184331514 |
|---|---|
| Provider Enumeration Date | 11/04/2022 |
| Last Update Date | 05/26/2023 |
| Medicare PECOS PAC ID | 5193194751 |
|---|---|
| Medicare Enrollment ID | O20221205000597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184331514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Brenda S Westwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487761938 PECOS PAC ID: 5890727937 Enrollment ID: I20050909000003 |
| Provider Name | Benjamin Paul Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063742344 PECOS PAC ID: 4082743240 Enrollment ID: I20100526000413 |
| Provider Name | Laura Mantine |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1104084144 PECOS PAC ID: 3072680461 Enrollment ID: I20170117000946 |
| Provider Name | Clorinda Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033629522 PECOS PAC ID: 3971869447 Enrollment ID: I20171116001060 |
| Provider Name | Courtney Renee Layton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275035107 PECOS PAC ID: 1557616687 Enrollment ID: I20180613003100 |
| Provider Name | Bonnie Heather Templeton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487877551 PECOS PAC ID: 3870782386 Enrollment ID: I20180625002063 |
| Provider Name | Carlyn Ashley Duelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578080925 PECOS PAC ID: 1052670643 Enrollment ID: I20200201000181 |
| Provider Name | Ericca Fulmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699305714 PECOS PAC ID: 7012348469 Enrollment ID: I20200519001066 |
| Provider Name | Leah Megan Himmelrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598306318 PECOS PAC ID: 2062849961 Enrollment ID: I20210826003528 |
| Provider Name | Jeffrey Ling Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710429410 PECOS PAC ID: 8729231261 Enrollment ID: I20221205000674 |
| Provider Name | Stevie Rae Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457836512 PECOS PAC ID: 8022362227 Enrollment ID: I20230222001571 |
| Provider Name | Iyad G. Houshan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497773287 PECOS PAC ID: 3274538251 Enrollment ID: I20231019003789 |
| Provider Name | Rebbeka Lawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790428399 PECOS PAC ID: 9739530692 Enrollment ID: I20240105000041 |
| Provider Name | Jerry Zornes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952942377 PECOS PAC ID: 9133570914 Enrollment ID: I20240105000999 |
| Provider Name | Janice Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053563106 PECOS PAC ID: 8325105117 Enrollment ID: I20240129003897 |
| Provider Name | John Michael Humienny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013368588 PECOS PAC ID: 0648603068 Enrollment ID: I20240325000099 |
| Provider Name | Jaime Lynn Piccola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598061616 PECOS PAC ID: 7012193659 Enrollment ID: I20240425000708 |
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