| Dr Latisha Mechele Hilton, DO | |
|
716 Spring Street, Suite 204, Wise, VA 24293 | |
| (276) 329-8910 | |
| (276) 328-4318 |
| Full Name | Dr Latisha Mechele Hilton |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 20 Years |
| Location | 716 Spring Street, Wise, 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 |
|---|---|---|---|
| 1528253846 | NPI | - | NPPES |
| P00819102 | Other | RR MEDICARE | |
| 1528253846 | Medicaid | VA | |
| 7100077100 | Medicaid | KY | |
| C10456 | Other | VA | TRAILBLAZER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0102202078 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Special Care Home Health | Grundy, VA | Home health agency |
| Buchanan General Hospital Home Health Agency | Grundy, VA | Home health agency |
| Buchanan General Hospital | Grundy, VA | Hospital |
| Clinch Valley Medical Center | Richlands, VA | Hospital |
| Pikeville Medical Center | Pikeville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Buchanan General Hospital Laboratory | 4688581663 | 9 |
| Entity Name | Buchanan General Hospital Laboratory |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508920273 PECOS PAC ID: 4688581663 Enrollment ID: O20040722000099 |
| 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: O20200124001561 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Latisha Mechele Hilton, DO 716 Spring St., Suite 204, Wise, VA 24293 Ph: (276) 328-8910 | Dr Latisha Mechele Hilton, DO 716 Spring Street, Suite 204, Wise, VA 24293 Ph: (276) 329-8910 |
Dr. Eleanor Sue Cantrell, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 134 Roberts Ave Sw, Wise, VA 24293 Phone: 276-328-8000 Fax: 276-376-1020 | |
Dr. Tiffani Maria Nichols, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 716 Spring St, Suite 204, Wise, VA 24293 Phone: 276-328-8910 Fax: 276-328-4318 | |
Chritsopher T. Starnes, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 143 Woodland Dr Sw, Wise, VA 24293 Phone: 276-365-8071 Fax: 276-221-1529 |