| Dietra Savage, PMHNP-BC | |
|
65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 | |
| (304) 848-5770 | |
| (304) 848-0890 |
| Full Name | Dietra Savage |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 65 Professional Pl Ste 102103, Bridgeport, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457917064 | NPI | - | NPPES |
| 78228 | Other | WV | RN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 78228 (West Virginia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 103875 (West Virginia) | Primary |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770917577 PECOS PAC ID: 0446232987 Enrollment ID: O20131219001230 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073944658 PECOS PAC ID: 0446232987 Enrollment ID: O20140320000490 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053742668 PECOS PAC ID: 0446232987 Enrollment ID: O20140513002114 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063808418 PECOS PAC ID: 0446232987 Enrollment ID: O20150911002252 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619348844 PECOS PAC ID: 0446232987 Enrollment ID: O20160310000180 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619464369 PECOS PAC ID: 0446232987 Enrollment ID: O20180808001012 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144811290 PECOS PAC ID: 0446232987 Enrollment ID: O20210331002097 |
| Entity Name | Community Care Of West Virginia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275271611 PECOS PAC ID: 0648189258 Enrollment ID: O20230615000337 |
| Mailing Address | Practice Location Address |
|---|---|
| Dietra Savage, PMHNP-BC 65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 Ph: (304) 848-5770 | Dietra Savage, PMHNP-BC 65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 Ph: (304) 848-5770 |
Jessica Lynn Pritt, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1000 | |
Miss Amber Kayla Cochran, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 527 Medical Park Dr Ste 400, Bridgeport, WV 26330 Phone: 681-342-3550 Fax: 681-342-3507 | |
Michelle L Hasley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 227 Medical Park Dr Ste 101, Bridgeport, WV 26330 Phone: 681-342-3500 Fax: 681-342-3507 | |
Sarah Lyndsey Woods, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 102 Thompson Dr, Bridgeport, WV 26330 Phone: 304-278-4410 | |
Erin Colleen Hawkins, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Medical Park Dr, Suite 300, Bridgeport, WV 26330 Phone: 304-624-7200 Fax: 304-423-5208 | |
Jennifer Michelle Fittro, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 304-203-3967 | |
Sarah A Layman, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 527 Medical Park Dr Ste 501, Bridgeport, WV 26330 Phone: 304-842-3993 |