Samantha Mann, | |
3997 Beckley Road, Princeton, WV 24740 | |
(304) 431-5499 | |
(304) 431-3400 |
Full Name | Samantha Mann |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 3997 Beckley Road, Princeton, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003915711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 757 (West Virginia) | Primary |
Entity Name | Rainelle Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1093883324 PECOS PAC ID: 7416861810 Enrollment ID: O20040310000112 |
Entity Name | Rainelle Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528417946 PECOS PAC ID: 7416861810 Enrollment ID: O20170327001135 |
Entity Name | Rainelle Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093165722 PECOS PAC ID: 7416861810 Enrollment ID: O20180802003553 |
Entity Name | Rainelle Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497244412 PECOS PAC ID: 7416861810 Enrollment ID: O20190212003197 |
Entity Name | Rainelle Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952815268 PECOS PAC ID: 7416861810 Enrollment ID: O20190524000194 |
Entity Name | Rainelle Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265068001 PECOS PAC ID: 7416861810 Enrollment ID: O20210315000726 |
Entity Name | Rainelle Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285303156 PECOS PAC ID: 7416861810 Enrollment ID: O20220817000906 |
Entity Name | Rainelle Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265101273 PECOS PAC ID: 7416861810 Enrollment ID: O20220817001443 |
Entity Name | Rainelle Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679223390 PECOS PAC ID: 7416861810 Enrollment ID: O20230130000485 |
Mailing Address | Practice Location Address |
---|---|
Samantha Mann, 3997 Beckley Rd, Princeton, WV 24740-7660 Ph: (304) 431-5499 | Samantha Mann, 3997 Beckley Road, Princeton, WV 24740 Ph: (304) 431-5499 |
Lawrence Lester, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1403 Honaker Ave, Princeton, WV 24740 Phone: 304-487-1551 | |
Dr. David T. Ellis, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 211 Hunter Park, Laurel Ridge Psychological Associates, Princeton, WV 24740 Phone: 304-487-6121 Fax: 304-487-8741 | |
Deborah Nolley, MS Psychologist Medicare: Medicare Enrolled Practice Location: 160 Undercliff Ter, Princeton, WV 24740 Phone: 304-425-6110 Fax: 304-487-6199 | |
Mr. John Carr Terry, MS Psychologist Medicare: Medicare Enrolled Practice Location: 160 Undercliff Ter, Princeton, WV 24740 Phone: 304-431-3010 Fax: 304-431-3011 | |
Brian Lueck, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 211 Hunter Park, Princeton, WV 24740 Phone: 304-487-6121 Fax: 304-487-8741 | |
Miss Tammie Lynn Smith, M.A. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1422 E Main St, Suite 4, Princeton, WV 24740 Phone: 304-425-3327 Fax: 304-425-4577 |