| Mandi Jo Wilt, MSN, APRN, FNP-C | |
|
164 Parkview Dr, Keyser, WV 26726-2313 | |
| (304) 597-2494 | |
| Not Available |
| Full Name | Mandi Jo Wilt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 164 Parkview Dr, Keyser, 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 |
|---|---|---|---|
| 1164120242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 104532 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Potomac Valley Hospital | Keyser, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West End Medical Pllc | 5597159756 | 4 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191206001144 |
| Entity Name | West End Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871875021 PECOS PAC ID: 5597159756 Enrollment ID: O20220303002513 |
| Mailing Address | Practice Location Address |
|---|---|
| Mandi Jo Wilt, MSN, APRN, FNP-C 215 Keys St, Keyser, WV 26726-3619 Ph: (304) 790-2033 | Mandi Jo Wilt, MSN, APRN, FNP-C 164 Parkview Dr, Keyser, WV 26726-2313 Ph: (304) 597-2494 |
Marie Delsignore, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1234 New Creek Hwy, Keyser, WV 26726 Phone: 304-788-9320 Fax: 304-788-9323 | |
Martie Helmick, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 514 New Creek Hwy Ste 1, Keyser, WV 26726 Phone: 304-788-6462 Fax: 304-788-6555 | |
Sarah Durr, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Pin Oak Ln, Keyser, WV 26726 Phone: 304-597-3500 | |
Mrs. Jodie Holstein, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Pin Oak Ln, Keyser, WV 26726 Phone: 304-597-3500 | |
Leah Knaggs, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Pin Oak Ln, Keyser, WV 26726 Phone: 304-597-3500 | |
Faith Ann Rodeheaver, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Pin Oak Ln, Keyser, WV 26726 Phone: 304-597-3500 |