| Leevetta Lynn Holstein, APRN-FNP | |
|
10008 Coal River Rd, Seth, WV 25181-0611 | |
| (304) 837-3399 | |
| (304) 854-1031 |
| Full Name | Leevetta Lynn Holstein |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 10008 Coal River Rd, Seth, 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 |
|---|---|---|---|
| 1821638057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 105405 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Boone Memorial Hospital | Madison, WV | Hospital |
| Thomas Memorial Hospital | South charleston, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lincoln County Primary Care Center Inc | 6204821879 | 34 |
| Entity Name | Lincoln County Primary Care Center Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1942274543 PECOS PAC ID: 6204821879 Enrollment ID: O20040415000138 |
| Entity Name | Lincoln County Primary Care Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720586472 PECOS PAC ID: 6204821879 Enrollment ID: O20180703001013 |
| Entity Name | Lincoln County Primary Care Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548962319 PECOS PAC ID: 6204821879 Enrollment ID: O20230910000140 |
| Entity Name | Lincoln County Primary Care Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639871403 PECOS PAC ID: 6204821879 Enrollment ID: O20230910000145 |
| Entity Name | Lincoln County Primary Care Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821790692 PECOS PAC ID: 6204821879 Enrollment ID: O20230910000152 |
| Mailing Address | Practice Location Address |
|---|---|
| Leevetta Lynn Holstein, APRN-FNP 7400 Lynn Ave, Hamlin, WV 25523-1138 Ph: (304) 824-5806 | Leevetta Lynn Holstein, APRN-FNP 10008 Coal River Rd, Seth, WV 25181-0611 Ph: (304) 837-3399 |