| Mica T Bentley, APRN, NP-C | |
|
501 Morris St, Suite 357, Charleston, WV 25301-1326 | |
| (304) 388-3574 | |
| (304) 388-6481 |
| Full Name | Mica T Bentley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 501 Morris St, Charleston, 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 |
|---|---|---|---|
| 1760833966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN73471-NP-C (West Virginia) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 73471 (West Virginia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Recover Together Inc | 7810247533 | 116 |
| Post Acute Telehealth Pc | 9638585391 | 42 |
| Post Acute Telehealth Pc | 9638585391 | 42 |
| Post Acute Telehealth Pc | 9638585391 | 42 |
| Post Acute Telehealth Pc | 9638585391 | 42 |
| Post Acute Telehealth Pc | 9638585391 | 42 |
| Post Acute Telehealth Pc | 9638585391 | 42 |
| Entity Name | St. Mary's Medical Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922155217 PECOS PAC ID: 5890897151 Enrollment ID: O20070216000690 |
| Entity Name | Recover Together Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346736758 PECOS PAC ID: 7810247533 Enrollment ID: O20180830000516 |
| Entity Name | Post Acute Telehealth Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164011185 PECOS PAC ID: 9638585391 Enrollment ID: O20210422001002 |
| Entity Name | Pa Post Acute Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255057063 PECOS PAC ID: 7911374905 Enrollment ID: O20221222001033 |
| Mailing Address | Practice Location Address |
|---|---|
| Mica T Bentley, APRN, NP-C 501 Morris St, Suite 357, Charleston, WV 25301-1326 Ph: (304) 388-3574 | Mica T Bentley, APRN, NP-C 501 Morris St, Suite 357, Charleston, WV 25301-1326 Ph: (304) 388-3574 |
Stephanie Lynn Legg, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2345 Chesterfield Ave Ste 302, Charleston, WV 25304 Phone: 681-205-8610 Fax: 681-205-8615 | |
Ms. Brenda Lou Keefer, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-925-3436 | |
Brenda Moody Walker, RN,MSN,CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4407 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-925-0392 Fax: 304-825-0392 | |
Janice K Kaufman, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3100 Maccorkle Ave, Suite 709, Charleston, WV 25304 Phone: 304-342-1184 Fax: 304-343-8487 | |
Mrs. Cari Stover, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4307 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-205-6123 | |
Mrs. Carolyn Sue Green, APRN FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 Washington St W, Charleston, WV 25302 Phone: 304-344-9834 Fax: 304-344-1756 | |
Mrs. Megan Kaye Vineyard, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3415 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-8380 |