| Alice Lee Lockman, FNP-BC | |
|
401 6th Ave, Montgomery, WV 25136-2116 | |
| (304) 442-5151 | |
| (304) 442-7494 |
| Full Name | Alice Lee Lockman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 401 6th Ave, Montgomery, 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 |
|---|---|---|---|
| 1487960407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 47538 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Virginia Health Right Inc. | 2163652983 | 9 |
| Entity Name | Montgomery General Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619913647 PECOS PAC ID: 6204735269 Enrollment ID: O20040108000241 |
| Entity Name | West Virginia Health Right Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124453964 PECOS PAC ID: 2163652983 Enrollment ID: O20140224000121 |
| Mailing Address | Practice Location Address |
|---|---|
| Alice Lee Lockman, FNP-BC 401 6th Ave, Montgomery, WV 25136-2116 Ph: (304) 442-5151 | Alice Lee Lockman, FNP-BC 401 6th Ave, Montgomery, WV 25136-2116 Ph: (304) 442-5151 |
Ms. Erica Rennee Cervera, RN, MSN, APRN, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 6th Ave, Montgomery, WV 25136 Phone: 304-442-5151 Fax: 304-442-7494 | |
Madeline Wilson Burns, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 6th Ave, Montgomery, WV 25136 Phone: 304-442-5151 Fax: 304-442-7494 |