| Deanna Rae Pauley, PA-C | |
|
555 Main Street, Chapmanville, WV 25508 | |
| (304) 688-9901 | |
| (304) 688-9904 |
| Full Name | Deanna Rae Pauley |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 555 Main Street, Chapmanville, 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 |
|---|---|---|---|
| 1518944255 | NPI | - | NPPES |
| 3810024397 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 01208 (West Virginia) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 01208 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Logan Regional Medical Center | Logan, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rural Health Access Corporation | 2668528746 | 12 |
| Entity Name | Logan General Hospital LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720032105 PECOS PAC ID: 9537078977 Enrollment ID: O20031217001124 |
| Entity Name | Rural Health Access Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124253083 PECOS PAC ID: 2668528746 Enrollment ID: O20090914000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Deanna Rae Pauley, PA-C Po Box 1171, Danville, WV 25053-1171 Ph: (304) 688-4100 | Deanna Rae Pauley, PA-C 555 Main Street, Chapmanville, WV 25508 Ph: (304) 688-9901 |
Corey Edward Greene, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 40 Shae Ave Ste A, Chapmanville, WV 25508 Phone: 304-310-2261 Fax: 304-310-2262 |
Mrs. Victoria Nicole Ellis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Vance St, Chapmanville, WV 25508 Phone: 304-855-0425 Fax: 304-855-0427 |