| Heather Meadows, NURSE PRATITIONER | |
|
125 Diana Dr, Webster Springs, WV 26288-9078 | |
| (304) 847-5682 | |
| Not Available |
| Full Name | Heather Meadows |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 125 Diana Dr, Webster Springs, 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 |
|---|---|---|---|
| 1194877498 | NPI | - | NPPES |
| 63098 | Other | WV | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | WV63098 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Webster Memorial Hospital | Webster springs, WV | Hospital |
| Summersville Regional Medical Center | Summersville, WV | Hospital |
| Braxton County Memorial Hospital, Inc | Gassaway, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Webster Memorial Hospital Inc | 6709275373 | 9 |
| St. Joseph Recovery Center, Llc | 0042548000 | 12 |
| Entity Name | St. Joseph Recovery Center, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174021406 PECOS PAC ID: 0042548000 Enrollment ID: O20190829000101 |
| Entity Name | Webster Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679241152 PECOS PAC ID: 6709275373 Enrollment ID: O20211227001169 |
| Entity Name | Grace Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376172494 PECOS PAC ID: 0941651947 Enrollment ID: O20240103004145 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Meadows, NURSE PRATITIONER Po Box 312, Webster Springs, WV 26288-0312 Ph: (304) 847-5682 | Heather Meadows, NURSE PRATITIONER 125 Diana Dr, Webster Springs, WV 26288-9078 Ph: (304) 847-5682 |
Dustin D Fortney, ACNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 Diana Dr, Webster Springs, WV 26288 Phone: 304-847-5682 |