| Vaught Infusion Services, Pllc | |
|
1404 Robert C Byrd Dr Ste 202 Crab Orchard WV 25827-9470 | |
| (304) 252-4222 | |
| Not Available |
| Full Name | Vaught Infusion Services, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1404 Robert C Byrd Dr Ste 202, Crab Orchard, West Virginia |
| Authorized Official Name and Position | Amy O'neal (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 3042524222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vaught Infusion Services, Pllc 1404 Robert C Byrd Dr Ste 202 Crab Orchard WV 25827-9470 Ph: (304) 252-2222 | Vaught Infusion Services, Pllc 1404 Robert C Byrd Dr Ste 202 Crab Orchard WV 25827-9470 Ph: (304) 252-4222 |
| NPI Number | 1326884057 |
|---|---|
| Provider Enumeration Date | 07/02/2024 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/10/2024 |
| Medicare PECOS PAC ID | 7719418193 |
|---|---|
| Medicare Enrollment ID | O20241009003531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326884057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Barry K Vaught |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194770339 PECOS PAC ID: 4880638568 Enrollment ID: I20060601000001 |
Vaught Neurological Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1404 Robert C Byrd Dr Ste 100, Crab Orchard, WV 25827 Phone: 304-252-4222 | |
Pressley Ridge Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1265 Robert C Byrd Dr, Crab Orchard, WV 25827 Phone: 304-252-1106 Fax: 304-252-0911 | |
Pnb Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1289 Robert C Byrd Dr, Suite 4, Crab Orchard, WV 25827 Phone: 304-253-8979 |