| Charles Vance Iii, DO | |
|
7400 Lynn Ave, Hamlin, WV 25523-1138 | |
| (304) 824-5806 | |
| (304) 824-5804 |
| Full Name | Charles Vance Iii |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 7400 Lynn Ave, Hamlin, 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 |
|---|---|---|---|
| 1649250341 | NPI | - | NPPES |
| 000000229369 | Other | WV | ANTHEM |
| 080188645 | Other | WV | RR MEDICARE |
| 001709560 | Other | WV | MT. STATE |
| 0049874000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 768 (West Virginia) | Primary |
| Entity Name | Lincoln County Primary Care Center Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1942274543 PECOS PAC ID: 6204821879 Enrollment ID: O20040415000138 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Vance Iii, DO 7400 Lynn Ave, Hamlin, WV 25523-1138 Ph: () - | Charles Vance Iii, DO 7400 Lynn Ave, Hamlin, WV 25523-1138 Ph: (304) 824-5806 |
Dr. Trenton Drew Hayes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7400 Lynn Ave, Hamlin, WV 25523 Phone: 304-824-5806 Fax: 304-824-5885 | |
Tammy L Bannister, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7400 Lynn Ave, Hamlin, WV 25523 Phone: 304-824-5806 Fax: 304-824-5804 |