| Pai Medical Wv Pllc | |
| 3058c Charles Town Rd Kearneysville WV 25430-2669 | |
| (860) 322-6712 | |
| (860) 706-8151 | 
| Full Name | Pai Medical Wv Pllc | 
|---|---|
| Speciality | Psychiatry & Neurology | 
| Location | 3058c Charles Town Rd, Kearneysville, West Virginia | 
| Authorized Official Name and Position | Melissa King (DIRECTOR) | 
| Authorized Official Contact | 8603226712 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Pai Medical Wv Pllc 101 Centerpoint Dr Ste 105 Middletown CT 06457-7568 Ph: (860) 322-6712 | Pai Medical Wv Pllc 3058c Charles Town Rd Kearneysville WV 25430-2669 Ph: (860) 322-6712 | 
| NPI Number | 1972323061 | 
|---|---|
| Provider Enumeration Date | 10/14/2024 | 
| Last Update Date | 10/14/2024 | 
| Certification Date | 10/14/2024 | 
| Medicare PECOS PAC ID | 2567996838 | 
|---|---|
| Medicare Enrollment ID | O20241108001329 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1972323061 | NPI | - | NPPES | 
| Provider Name | Jason Kirby | 
|---|---|
| Provider Type | Practitioner - Preventive Medicine | 
| Provider Identifiers | NPI Number: 1295056281 PECOS PAC ID: 5890932461 Enrollment ID: I20140730000813 | 
| Provider Name | Elizabeth Catherine Baker | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1811419013 PECOS PAC ID: 1355601394 Enrollment ID: I20180212001791 | 
| Provider Name | Erin Hodge | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1154875359 PECOS PAC ID: 8729344965 Enrollment ID: I20181217003093 | 
| Provider Name | Mekeesha Mcclure | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1053517946 PECOS PAC ID: 0749347987 Enrollment ID: I20231202000021 | 
| Provider Name | Caroline Menighan | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1588444624 PECOS PAC ID: 7618325408 Enrollment ID: I20231205001609 | 
| Provider Name | Carol Cornett | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1639347594 PECOS PAC ID: 8628145042 Enrollment ID: I20240108006257 | 
| Provider Name | Jason Quiros | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1326557240 PECOS PAC ID: 5496011314 Enrollment ID: I20240129003856 | 
| Provider Name | Charles M Janssens | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1740448489 PECOS PAC ID: 0244386613 Enrollment ID: I20240212002074 | 
| Provider Name | Stacey Lambert | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1336462936 PECOS PAC ID: 6901240704 Enrollment ID: I20240220004212 | 
| Provider Name | Tiffany N Wright | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1487938809 PECOS PAC ID: 0244404242 Enrollment ID: I20240426000465 | 
| Provider Name | Seth Clayton Thompson | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1467683300 PECOS PAC ID: 6507164506 Enrollment ID: I20241018000581 | 
| Provider Name | Phyllis Mogielski Watson | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1295909851 PECOS PAC ID: 7315397403 Enrollment ID: I20241023004927 | 
| Provider Name | Mark Merkel | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1528696762 PECOS PAC ID: 1456772276 Enrollment ID: I20241108001825 | 
| Provider Name | Alba Guevara | 
|---|---|
| Provider Type | Practitioner - Preventive Medicine | 
| Provider Identifiers | NPI Number: 1063867398 PECOS PAC ID: 8921391285 Enrollment ID: I20241108003862 | 
| Provider Name | Tamela Cook-mobley | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1699216192 PECOS PAC ID: 0143599613 Enrollment ID: I20241127004310 | 
| Provider Name | Lucas Wilmore | 
|---|---|
| Provider Type | Practitioner - Addiction Medicine | 
| Provider Identifiers | NPI Number: 1215399092 PECOS PAC ID: 7810286192 Enrollment ID: I20250421000511 | 
| Provider Name | Cheryl Mitchell | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1689190555 PECOS PAC ID: 1254869035 Enrollment ID: I20250602000011 | 
| Provider Name | Henry G Luu | 
|---|---|
| Provider Type | Practitioner - Addiction Medicine | 
| Provider Identifiers | NPI Number: 1306864947 PECOS PAC ID: 6406025568 Enrollment ID: I20250609001162 | 
| Pai Medical Wv Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3058c Charles Town Rd, Kearneysville, WV 25430 Phone: 860-322-6712 Fax: 860-706-8151 | |
| Renovo Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 E Burr Blvd, Kearneysville, WV 25430 Phone: 681-252-1632 Fax: 300-455-3743 | |
| Healing Options Providing Empowerment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 59 Ruland Rd, Kearneysville, WV 25430 Phone: 304-279-5553 Fax: 304-606-3096 | |
| Continuous Journey Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 179 E Burr Blvd Ste F, Kearneysville, WV 25430 Phone: 304-283-0022 Fax: 304-521-6078 | |
| Renovo Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 E Burr Blvd Fl 1, Kearneysville, WV 25430 Phone: 681-252-1632 | |
| Pursuecare Wv Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3058c Charles Town Rd, Kearneysville, WV 25430 Phone: 860-322-6712 Fax: 860-706-8151 | |
| Mountaineer Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3094 Charles Town Road, Kearneysville, WV 25430 Phone: 304-901-2070 Fax: 304-885-1054 |