| Dr Agnes A Enrico-simon, MD | |
|
2420 Jefferson Ave, Pt Pleasant, WV 25550-1528 | |
| (304) 675-6817 | |
| (304) 675-5893 |
| Full Name | Dr Agnes A Enrico-simon |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Experience | 38 Years |
| Location | 2420 Jefferson Ave, Pt Pleasant, West Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003910670 | NPI | - | NPPES |
| 2362269 | Medicaid | OH | |
| 001723700 | Other | WV | BCBS |
| 3002914000 | Medicaid | WV | |
| 7133291 | Other | WV | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20514 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holzer Medical Center | Gallipolis, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Holzer Clinic Llc | 5890606008 | 264 |
| Entity Name | Holzer Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
| Entity Name | Ohio Valley Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962433177 PECOS PAC ID: 8729032966 Enrollment ID: O20050422000921 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Agnes A Enrico-simon, MD 2420 Jefferson Ave, Pt Pleasant, WV 25550-1528 Ph: (304) 675-6817 | Dr Agnes A Enrico-simon, MD 2420 Jefferson Ave, Pt Pleasant, WV 25550-1528 Ph: (304) 675-6817 |
Robert M Holley, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2500 Jefferson Ave, Pt Pleasant, WV 25550 Phone: 304-675-1675 Fax: 304-675-3713 | |
Breton L Morgan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2907 Jackson Ave, Pt Pleasant, WV 25550 Phone: 304-675-6492 Fax: 304-675-3782 | |
Nancy Beth Lares, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2414 Jefferson Ave, Pt Pleasant, WV 25550 Phone: 304-675-1484 Fax: 304-675-1489 |