| Khristina L Light, | |
|
503 Roosevelt Blvd, Eleanor, WV 25070-1390 | |
| (304) 757-6999 | |
| Not Available |
| Full Name | Khristina L Light |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 503 Roosevelt Blvd, Eleanor, 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 |
|---|---|---|---|
| 1588335889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 109965 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Womencare Inc | 4587568134 | 43 |
| Entity Name | Womencare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194759290 PECOS PAC ID: 4587568134 Enrollment ID: O20031125000177 |
| Entity Name | Womencare Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1740450089 PECOS PAC ID: 4587568134 Enrollment ID: O20080807000128 |
| Entity Name | Womencare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447618327 PECOS PAC ID: 4587568134 Enrollment ID: O20160913002016 |
| Entity Name | Womencare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578073706 PECOS PAC ID: 4587568134 Enrollment ID: O20180312001821 |
| Entity Name | Womencare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790276525 PECOS PAC ID: 4587568134 Enrollment ID: O20181102002547 |
| Entity Name | Womencare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396237434 PECOS PAC ID: 4587568134 Enrollment ID: O20190517001924 |
| Entity Name | Womencare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770745036 PECOS PAC ID: 4587568134 Enrollment ID: O20190806002319 |
| Entity Name | Womencare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174106124 PECOS PAC ID: 4587568134 Enrollment ID: O20211028001145 |
| Entity Name | Womencare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730671751 PECOS PAC ID: 4587568134 Enrollment ID: O20221228003052 |
| Mailing Address | Practice Location Address |
|---|---|
| Khristina L Light, 71 Willowood Cir, Hurricane, WV 25526-9268 Ph: (304) 237-4036 | Khristina L Light, 503 Roosevelt Blvd, Eleanor, WV 25070-1390 Ph: (304) 757-6999 |
Stephanie Dawn Metz, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 503 Roosevelt Blvd, Eleanor, WV 25070 Phone: 304-586-0001 | |
Valerie Leigh Cain, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 503 Roosevelt Blvd, Eleanor, WV 25070 Phone: 304-586-0001 |