| Lisa Summers, FNP | |
|
408 Alexander Street, Cedar Grove, WV 25309 | |
| (304) 595-1770 | |
| (304) 595-3298 |
| Full Name | Lisa Summers |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 408 Alexander Street, Cedar Grove, 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 |
|---|---|---|---|
| 1093190431 | NPI | - | NPPES |
| 1093190431 | Medicaid | WV | |
| 0287208 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71874 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of West Virginia | Charleston, WV | Home health agency |
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Montgomery General Hospital, Inc | Montgomery, WV | Hospital |
| Thomas Memorial Hospital | South charleston, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Health Systems, Inc | 9931017969 | 66 |
| Entity Name | Charleston Area Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
| Entity Name | Valley Health Systems, Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1902962368 PECOS PAC ID: 9931017969 Enrollment ID: O20040325000411 |
| Entity Name | Valley Health Systems, Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1548542277 PECOS PAC ID: 9931017969 Enrollment ID: O20130415000484 |
| Entity Name | Valley Health Systems, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659769776 PECOS PAC ID: 9931017969 Enrollment ID: O20151015002625 |
| Entity Name | Valley Health Systems, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881054476 PECOS PAC ID: 9931017969 Enrollment ID: O20160627002459 |
| Entity Name | Valley Health Systems, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659733293 PECOS PAC ID: 9931017969 Enrollment ID: O20160824002521 |
| Entity Name | Valley Health Systems, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013577303 PECOS PAC ID: 9931017969 Enrollment ID: O20200407002573 |
| Entity Name | Valley Health Systems, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407466535 PECOS PAC ID: 9931017969 Enrollment ID: O20201121000107 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Summers, FNP 2585 3rd Ave, Huntington, WV 25703-1642 Ph: (304) 697-1396 | Lisa Summers, FNP 408 Alexander Street, Cedar Grove, WV 25309 Ph: (304) 595-1770 |
Bridgett Freeman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 408 Alexander Street, Cedar Grove, WV 25309 Phone: 304-595-1770 Fax: 304-595-3298 |