| Tammy L Bannister, MD | |
|
7400 Lynn Ave, Hamlin, WV 25523-1138 | |
| (304) 824-5806 | |
| (304) 824-5804 |
| Full Name | Tammy L Bannister |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 32 Years |
| Location | 7400 Lynn Ave, Hamlin, 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 |
|---|---|---|---|
| 1538129010 | NPI | - | NPPES |
| 2025632 | Medicaid | OH | |
| 64941651 | Medicaid | KY | |
| 0054648000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 18587 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cabell Huntington Hospital Inc | Huntington, WV | Hospital |
| St Mary's Medical Center | Huntington, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Physicians And Surgeons, Inc | 2961315734 | 343 |
| Entity Name | University Physicians & Surgeons, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730183286 PECOS PAC ID: 2961315734 Enrollment ID: O20031107000331 |
| Entity Name | M Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780056168 PECOS PAC ID: 7719278597 Enrollment ID: O20240320004143 |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy L Bannister, MD 7400 Lynn Ave, Hamlin, WV 25523-1138 Ph: (304) 824-5806 | Tammy L Bannister, MD 7400 Lynn Ave, Hamlin, WV 25523-1138 Ph: (304) 824-5806 |
Trenton Drew Hayes, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7400 Lynn Ave, Hamlin, WV 25523 Phone: 304-824-5806 Fax: 304-824-5885 | |
Charles Vance Iii, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 7400 Lynn Ave, Hamlin, WV 25523 Phone: 304-824-5806 Fax: 304-824-5804 |