| Dr Shannon Leigh Carpenter, MD | |
|
12 Kanawha Ter, Saint Albans, WV 25177 | |
| (304) 201-1130 | |
| (304) 201-1134 |
| Full Name | Dr Shannon Leigh Carpenter |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 17 Years |
| Location | 12 Kanawha Ter, Saint Albans, 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 |
|---|---|---|---|
| 1770727836 | NPI | - | NPPES |
| 3810024872 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24882 (West Virginia) | Primary |
| 208M00000X | Hospitalist | 24882 (West Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Charleston Area Medical Center Inc | 3375441637 | 859 |
| Entity Name | Charleston Area Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
| Entity Name | Womencare Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1740450089 PECOS PAC ID: 4587568134 Enrollment ID: O20080807000128 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shannon Leigh Carpenter, MD 3200 Maccorkle Ave Se, Suite B16, Charleston, WV 25304 Ph: (304) 388-5848 | Dr Shannon Leigh Carpenter, MD 12 Kanawha Ter, Saint Albans, WV 25177 Ph: (304) 201-1130 |
I. Elaine Moore, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 311 8th Ave, Saint Albans, WV 25177 Phone: 304-807-5131 | |
Sarah Ann Conn, APRN, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 6th Ave, Saint Albans, WV 25177 Phone: 304-721-9300 Fax: 304-459-2873 | |
Dr. Amy Dale Casto, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 612 5th St., Saint Albans, WV 25177 Phone: 304-729-0015 | |
Rita Ramesh Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12 Kanawha Ter, Saint Albans, WV 25177 Phone: 304-201-1130 Fax: 304-201-1134 |