| Madeline Wilson Burns, APRN | |
|
401 6th Ave, Montgomery, WV 25136-2199 | |
| (304) 442-5151 | |
| (304) 442-7494 |
| Full Name | Madeline Wilson Burns |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 401 6th Ave, Montgomery, 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 |
|---|---|---|---|
| 1609362961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 106709 (West Virginia) | Primary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 3012466 (Kentucky) | Secondary |
| Entity Name | Montgomery General Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619913647 PECOS PAC ID: 6204735269 Enrollment ID: O20040108000241 |
| Mailing Address | Practice Location Address |
|---|---|
| Madeline Wilson Burns, APRN 286 Zandale Dr, Lexington, KY 40503-2660 Ph: (502) 558-6669 | Madeline Wilson Burns, APRN 401 6th Ave, Montgomery, WV 25136-2199 Ph: (304) 442-5151 |
Ms. Erica Rennee Cervera, RN, MSN, APRN, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 6th Ave, Montgomery, WV 25136 Phone: 304-442-5151 Fax: 304-442-7494 | |
Alice Lee Lockman, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 6th Ave, Montgomery, WV 25136 Phone: 304-442-5151 Fax: 304-442-7494 |