| Kellie Faye Gautier, FNP-BC | |
|
1468 Ritter Dr, Daniels, WV 25832-9356 | |
| (304) 253-3860 | |
| Not Available |
| Full Name | Kellie Faye Gautier |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 1468 Ritter Dr, Daniels, 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 |
|---|---|---|---|
| 1215219902 | NPI | - | NPPES |
| 3810021842 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 73240 (West Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prompt Care Inc | 2567693997 | 7 |
| Entity Name | Medexpress Urgent Care Inc West Virginia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912133315 PECOS PAC ID: 1254487101 Enrollment ID: O20090918000219 |
| Entity Name | Prompt Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790115848 PECOS PAC ID: 2567693997 Enrollment ID: O20140327000670 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie Faye Gautier, FNP-BC 330 Cedarcrest Dr, Shady Spring, WV 25918-8541 Ph: (304) 890-8987 | Kellie Faye Gautier, FNP-BC 1468 Ritter Dr, Daniels, WV 25832-9356 Ph: (304) 253-3860 |
Leslie Dawn Adkins, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1631 Ritter Dr, Daniels, WV 25832 Phone: 304-763-3051 | |
Jill Davis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 117 Martin St, Daniels, WV 25832 Phone: 304-573-7485 | |
Rebecca Dilly, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2157 Ritter Dr, Daniels, WV 25832 Phone: 304-252-8555 | |
Meghann Long, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2157 Ritter Dr, Daniels, WV 25832 Phone: 304-763-4326 Fax: 304-763-4275 |