| Andyara Euzebio Passos, PA-C | |
|
4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | |
| (304) 766-3600 | |
| Not Available |
| Full Name | Andyara Euzebio Passos |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 4605 Maccorkle Ave Sw, South Charleston, 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 |
|---|---|---|---|
| 1194419994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2742 (West Virginia) | Primary |
| 363AM0700X | Physician Assistant - Medical | 2742 (West Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thomas Memorial Hospital | South charleston, WV | Hospital |
| Camc Greenbrier Valley Medical Center, Inc | Ronceverte, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ths Physician Partners Inc | 9537316393 | 366 |
| Entity Name | Princeton Community Hospital Assn. Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093917643 PECOS PAC ID: 3678482221 Enrollment ID: O20031211000436 |
| Entity Name | Charleston Area Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
| Entity Name | Camden-clark Physician Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710125430 PECOS PAC ID: 5294885661 Enrollment ID: O20090604000570 |
| Entity Name | Ths Physician Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871866806 PECOS PAC ID: 9537316393 Enrollment ID: O20120829000738 |
| Entity Name | West Virginia Health Care Cooperative Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417415324 PECOS PAC ID: 9830431030 Enrollment ID: O20190508000440 |
| Entity Name | West Virginia Health Care Cooperative Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1043778319 PECOS PAC ID: 9830431030 Enrollment ID: O20190531001788 |
| Entity Name | Camc Greenbrier Valley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588373872 PECOS PAC ID: 1254702962 Enrollment ID: O20230118000113 |
| Mailing Address | Practice Location Address |
|---|---|
| Andyara Euzebio Passos, PA-C 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 Ph: (304) 766-3600 | Andyara Euzebio Passos, PA-C 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 Ph: (304) 766-3600 |
Dustin Crites, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3601 Fax: 304-766-3477 |
Mr. Geno Anthony Santangelo Jr., P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-389-7914 |
Gregory Porter, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 707 Chestnut St, South Charleston, WV 25309 Phone: 304-768-8500 Fax: 304-768-8530 |
Aris L Smith, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-521-3612 |
Natalie R Beeson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 401 Division St Ste 306, South Charleston, WV 25309 Phone: 304-766-4300 Fax: 304-766-5474 |
Ashley Nicole Cumberledge, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 401 Division St Ste 304, South Charleston, WV 25309 Phone: 304-767-7840 Fax: 304-767-7849 |
Erik James Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 242 Division St, South Charleston, WV 25309 Phone: 304-767-7840 Fax: 304-767-7849 |