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 | 36 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 |
Holzer Medical Center Jackson | Jackson, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Holzer Clinic Llc | 5890606008 | 268 |
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: Accepting Medicare Assignments 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 |