| Mary Jane Phipps, FNP | |
|
202 Larry Joe Harless Dr, Gilbert, WV 25621 | |
| (304) 664-6270 | |
| (304) 664-6272 |
| Full Name | Mary Jane Phipps |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 202 Larry Joe Harless Dr, Gilbert, 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 |
|---|---|---|---|
| 1396053484 | NPI | - | NPPES |
| 3810021064 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 50819 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Logan Regional Medical Center | Logan, WV | Hospital |
| Boone Memorial Hospital | Madison, WV | Hospital |
| Charleston Area Medical Center | 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: 1457610594 PECOS PAC ID: 6204821879 Enrollment ID: O20121005000142 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Jane Phipps, FNP 7400 Lynn Ave, Hamlin, WV 25523-1138 Ph: (304) 824-5806 | Mary Jane Phipps, FNP 202 Larry Joe Harless Dr, Gilbert, WV 25621 Ph: (304) 664-6270 |
Sharon G Davis, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 202 Larry Joe Harless Dr., Gilbert, WV 25621 Phone: 304-664-6270 Fax: 304-664-6272 | |
Ashley Price, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1061 Larry Joe Harless Drive, Gilbert, WV 25621 Phone: 304-664-5698 |