| Keith Marshall Stevens Iii, | |
|
20 Candy Ln, Belle, WV 25015-1100 | |
| (304) 545-8662 | |
| Not Available |
| Full Name | Keith Marshall Stevens Iii |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 20 Candy Ln, Belle, 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 |
|---|---|---|---|
| 1295476687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 103437 (West Virginia) | Primary |
| Entity Name | Braxton County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356304547 PECOS PAC ID: 5193717759 Enrollment ID: O20040401001560 |
| Entity Name | West Virginia Health Care Cooperative Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417415324 PECOS PAC ID: 9830431030 Enrollment ID: O20190508000440 |
| Entity Name | West Virginia Health Care Cooperative Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1043778319 PECOS PAC ID: 9830431030 Enrollment ID: O20190531001788 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Marshall Stevens Iii, 20 Candy Ln, Belle, WV 25015-1100 Ph: (304) 545-8662 | Keith Marshall Stevens Iii, 20 Candy Ln, Belle, WV 25015-1100 Ph: (304) 545-8662 |
Mrs. Megan Sims Sweeney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 80 W 34th St, Belle, WV 25015 Phone: 304-925-4565 | |
Samantha Tee Crowder-arrington, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 302 E 7th St, Belle, WV 25015 Phone: 304-949-5197 |