| 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 |
|---|---|---|
| Daniel Funsch Jr Md Pc | 1951801836 | 139 |
| Post Acute Telehealth Pc | 9638585391 | 63 |
| Post Acute Telehealth Pc | 9638585391 | 63 |
| Post Acute Telehealth Pc | 9638585391 | 63 |
| Daniel Funsch Jr Md Pc | 1951801836 | 139 |
| Post Acute Telehealth Pc | 9638585391 | 63 |
| Post Acute Telehealth Pc | 9638585391 | 63 |
| Daniel Funsch Jr Md Pc | 1951801836 | 139 |
| Post Acute Telehealth Pc | 9638585391 | 63 |
| Recover Together Inc | 7810247533 | 141 |
| Post Acute Telehealth Pc | 9638585391 | 63 |
| 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: O20230809001627 |
| Entity Name | Ivy Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700558798 PECOS PAC ID: 4981097797 Enrollment ID: O20241227001555 |
| Entity Name | Daniel Funsch Jr, M.D., P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316784580 PECOS PAC ID: 1951801836 Enrollment ID: O20251002004171 |
| Entity Name | Dr Rebman Medical PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669276689 PECOS PAC ID: 3678087400 Enrollment ID: O20251213000458 |
| 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 |
Karen Jean Sammons, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 561 Garrison Ave, Charleston, WV 25302 Phone: 304-437-5964 |
Ms. Brenda Lou Keefer, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-925-3436 |
Aniela Sharee Settle, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5098 Washington St W Ste 407, Charleston, WV 25313 Phone: 860-788-6404 |
Brenda Moody Walker, RN,MSN,CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare 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 |