Ivy E Thompson, CFNP | |
630 Fairmont Ave, Fairmont, WV 26554-5104 | |
(304) 534-8931 | |
(681) 404-6120 |
Full Name | Ivy E Thompson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 630 Fairmont Ave, Fairmont, 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 |
---|---|---|---|
1164079828 | NPI | - | NPPES |
1164079828 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 104266 (West Virginia) | Primary |
Entity Name | Valeo Medical Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407180888 PECOS PAC ID: 5597806471 Enrollment ID: O20100114000388 |
Entity Name | Preston Urgent Care Family Practice, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720358252 PECOS PAC ID: 9830366624 Enrollment ID: O20120119000167 |
Mailing Address | Practice Location Address |
---|---|
Ivy E Thompson, CFNP 411 Morgantown St, Kingwood, WV 26537-1095 Ph: (304) 329-0555 | Ivy E Thompson, CFNP 630 Fairmont Ave, Fairmont, WV 26554-5104 Ph: (304) 534-8931 |
Chelsea Collins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1201 Locust Ave Fl Center3, Fairmont, WV 26554 Phone: 304-367-4155 | |
Kathryn Nicole Preast, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1325 Locust Ave, Fairmont, WV 26554 Phone: 814-494-2542 | |
Therese Danielle Prosser, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1322 Locust Ave, Fairmont, WV 26554 Phone: 304-366-0700 | |
Chelsy N Harmer, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1703 Locust Ave, Fairmont, WV 26554 Phone: 304-366-6100 Fax: 304-366-2220 | |
Amber Sinclaire Weaver, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1044 Hite Cir, Fairmont, WV 26554 Phone: 304-476-8497 Fax: 772-238-2080 | |
Tressa Bonasso, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 23 Tresara Dr, Fairmont, WV 26554 Phone: 304-694-5898 | |
Tyonna Marie Jones, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Stoney Hill Rd, Fairmont, WV 26554 Phone: 304-333-8840 |