| Anita R Stewart, DO | |
|
1 Stevens Rd, Summersville, WV 26651-9704 | |
| (304) 872-5329 | |
| (304) 574-3960 |
| Full Name | Anita R Stewart |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1 Stevens Rd, Summersville, 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 |
|---|---|---|---|
| 1811196314 | NPI | - | NPPES |
| 3810016406 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2362 (West Virginia) | Primary |
| Entity Name | Nicholas County Board Of Health |
|---|---|
| Entity Type | Part B Supplier - Mass Immunization (roster Biller Only) |
| Entity Identifiers | NPI Number: 1114964954 PECOS PAC ID: 4385685544 Enrollment ID: O20050518000284 |
| Entity Name | West Virginia Health Care Cooperative Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417415324 PECOS PAC ID: 9830431030 Enrollment ID: O20190508000440 |
| Entity Name | West Virginia Health Care Cooperative Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1043778319 PECOS PAC ID: 9830431030 Enrollment ID: O20190531001788 |
| Mailing Address | Practice Location Address |
|---|---|
| Anita R Stewart, DO 1 Stevens Rd, Summersville, WV 26651-9704 Ph: (304) 872-5329 | Anita R Stewart, DO 1 Stevens Rd, Summersville, WV 26651-9704 Ph: (304) 872-5329 |
Robert Charles Stanley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 702 Professional Park Dr, Suite 100, Summersville, WV 26651 Phone: 304-872-2991 Fax: 304-872-6268 | |
Bruce Kevin Greenberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Fairview Heights Rd, Summersville, WV 26651 Phone: 304-872-5090 Fax: 304-872-0636 | |
Dr. Keith Richard De Young, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 Main St, Summersville, WV 26651 Phone: 304-872-1663 | |
Dr. Crischelle L Shank, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Fairview Heights Rd, Summersville, WV 26651 Phone: 304-842-5090 | |
Dr. Richard Stockton Trenbath, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Merchants Walk, Shopping Center, Summersville, WV 26651 Phone: 304-872-9455 Fax: 304-872-9456 | |
Kathy Hamon, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 Main St, Summersville, WV 26651 Phone: 304-872-1663 Fax: 304-872-1804 | |
Mark Lynwood Wantz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Fairview Heights Rd, Summersville, WV 26651 Phone: 304-872-5090 Fax: 304-872-0636 |