| Mrs Amanda J Blackburn, PA-C | |
|
1540 Spring Valley Drive, Huntington, WV 25704 | |
| (304) 429-6741 | |
| (304) 429-0262 |
| Full Name | Mrs Amanda J Blackburn |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1540 Spring Valley Drive, Huntington, 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 |
|---|---|---|---|
| 1912994260 | NPI | - | NPPES |
| 950041230 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA804 (Kentucky) | Primary |
| Entity Name | Big Sandy Health Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104055805 PECOS PAC ID: 1951211218 Enrollment ID: O20040510000841 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amanda J Blackburn, PA-C 1540 Spring Valley Drive Hershel 'woody' Williams Vamc, Huntington, WV 25704 Ph: (304) 429-6741 | Mrs Amanda J Blackburn, PA-C 1540 Spring Valley Drive, Huntington, WV 25704 Ph: (304) 429-6741 |
Stephanie Nicole Price, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2900 1st Ave Rm 1025, Huntington, WV 25702 Phone: 304-399-7484 Fax: 304-399-7579 |
Taylor Alexandra Sowards, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2900 1st Ave, Huntington, WV 25702 Phone: 304-563-9169 |
Serena Mansoor, STUDENT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1542 Spring Valley Dr, Huntington, WV 25704 Phone: 304-696-6035 |
Sheri Mcgown, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2900 1st Ave, Huntington, WV 25702 Phone: 304-526-1436 |
Kerry S. Brinager, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 Stonecrest Dr, Huntington, WV 25701 Phone: 304-525-2273 Fax: 304-525-2165 |
Gracen Lily Kuhner, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1542 Spring Valley Dr, Huntington, WV 25704 Phone: 304-733-7798 |
Erika Williams, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1542 Spring Valley Dr, Huntington, WV 25704 Phone: 304-696-6035 |