| Misti Jones Wheeler Ms Inc. | |
|
805 Johnstown Rd Beckley WV 25801-4935 | |
| (304) 929-3945 | |
| (304) 929-3945 |
| Full Name | Misti Jones Wheeler Ms Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 805 Johnstown Rd, Beckley, West Virginia |
| Authorized Official Name and Position | Misti Dawn Jones- Wheeler (OWNER) |
| Authorized Official Contact | 3049293945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Misti Jones Wheeler Ms Inc. 214 Woodlawn Ave Beckley WV 25801-5407 Ph: (304) 575-6718 | Misti Jones Wheeler Ms Inc. 805 Johnstown Rd Beckley WV 25801-4935 Ph: (304) 929-3945 |
| NPI Number | 1174741607 |
|---|---|
| Provider Enumeration Date | 04/22/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7618044116 |
|---|---|
| Medicare Enrollment ID | O20080925000378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174741607 | NPI | - | NPPES |
| 3810002103 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 828 (West Virginia) | Primary |
| Provider Name | Misti D Jones Wheeler |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1356440390 PECOS PAC ID: 0648245316 Enrollment ID: I20051103000747 |
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