| Stacie D Gump, MD | |
|
2838 Pike Street, Wvu Medicine Patriot Pointe Camden Clark Physici Corpor, Parkersburg, WV 26101 | |
| (304) 865-5070 | |
| (304) 489-4250 |
| Full Name | Stacie D Gump |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 2838 Pike Street, Parkersburg, 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 |
|---|---|---|---|
| 1194717041 | NPI | - | NPPES |
| 402740000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0060181 (Maryland) | Secondary |
| 207Q00000X | Family Medicine | 25319 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of West Virginia | Vienna, WV | Home health agency |
| Kindred At Home | Parkersburg, WV | Home health agency |
| Camden Clark Medical Center | Parkersburg, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Camden-clark Physician Corporation | 5294885661 | 254 |
| Entity Name | Camden-clark Physician Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710125430 PECOS PAC ID: 5294885661 Enrollment ID: O20090604000570 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacie D Gump, MD 4 Rosemar Circle, Parkersburg, WV 26101 Ph: (304) 485-6130 | Stacie D Gump, MD 2838 Pike Street, Wvu Medicine Patriot Pointe Camden Clark Physici Corpor, Parkersburg, WV 26101 Ph: (304) 865-5070 |
Tara Lynn Staats, NP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Rosemar Cir, Parkersburg, WV 26104 Phone: 304-865-5130 Fax: 304-485-1519 | |
Brian Powderly, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2675 36th St, Parkersburg, WV 26104 Phone: 304-422-8112 Fax: 304-422-3924 | |
Ellen Renee Brown, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 184 Holiday Hills Dr, Parkersburg, WV 26104 Phone: 304-420-2400 Fax: 304-420-9014 | |
Dr. Terry William Capel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 418 Grand Park Dr Ste 311, Parkersburg, WV 26105 Phone: 304-865-5120 | |
Wessley Monollese, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2107 Pike St, Parkersburg, WV 26101 Phone: 304-865-5501 | |
Stephan D Hanna, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1907 Ann St, Parkersburg, WV 26101 Phone: 304-424-4205 Fax: 304-424-4485 |