| Jessica Lynn White, PA-C | |
|
200 Maplewood Ave, Ronceverte, WV 24970-1334 | |
| (304) 647-1148 | |
| (304) 647-3006 |
| Full Name | Jessica Lynn White |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 200 Maplewood Ave, Ronceverte, 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 |
|---|---|---|---|
| 1659675742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 01471 (West Virginia) | Primary |
| Entity Name | Rainelle Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1093883324 PECOS PAC ID: 7416861810 Enrollment ID: O20040310000112 |
| Entity Name | Rainelle Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528417946 PECOS PAC ID: 7416861810 Enrollment ID: O20170327001135 |
| Entity Name | Rainelle Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093165722 PECOS PAC ID: 7416861810 Enrollment ID: O20180802003553 |
| Entity Name | Rainelle Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497244412 PECOS PAC ID: 7416861810 Enrollment ID: O20190212003197 |
| Entity Name | Rainelle Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952815268 PECOS PAC ID: 7416861810 Enrollment ID: O20190524000194 |
| Entity Name | Rainelle Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285303156 PECOS PAC ID: 7416861810 Enrollment ID: O20220817000906 |
| Entity Name | Rainelle Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265101273 PECOS PAC ID: 7416861810 Enrollment ID: O20220817001443 |
| Entity Name | Rainelle Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679223390 PECOS PAC ID: 7416861810 Enrollment ID: O20230130000485 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Lynn White, PA-C 200 Maplewood Ave, Ronceverte, WV 24970-1334 Ph: (304) 647-1148 | Jessica Lynn White, PA-C 200 Maplewood Ave, Ronceverte, WV 24970-1334 Ph: (304) 647-1148 |
Paul T Vaughn, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 119 Maplewood Ave, Ronceverte, WV 24970 Phone: 304-647-5642 Fax: 304-647-5644 |
Mr. Joseph Lutz, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 200 Maplewood Ave, Ronceverte, WV 24970 Phone: 304-647-1148 Fax: 304-793-2208 |
Mary Katherine Bowling, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 103 Davis Stuart Rd, Ronceverte, WV 24970 Phone: 304-645-7546 Fax: 304-645-7547 |
Ms. Dana Renick, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 200 Maplewood Ave, Ronceverte, WV 24970 Phone: 304-647-1161 Fax: 304-647-3006 |
Mr. George Burton Bryant Jr., PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9016 Seneca Trl S, Ronceverte, WV 24970 Phone: 681-318-3477 Fax: 681-318-3479 |
Kimberly D Pierson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 103 Davis Stuart Road, Ronceverte, WV 24970 Phone: 304-645-7546 Fax: 304-645-7547 |
Taylor Burton, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1320 Maplewood Ave, Ronceverte, WV 24970 Phone: 304-647-4411 |