| Mrs Danielle Travise, PA-C | |
|
227 Medical Park Dr, Ste101, Bridgeport, WV 26330-9038 | |
| (681) 342-3490 | |
| Not Available |
| Full Name | Mrs Danielle Travise |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 227 Medical Park Dr, Bridgeport, 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 |
|---|---|---|---|
| 1619306420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-04351 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 01778 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph's Hospital Of Buckhannon, Inc | Buckhannon, WV | Hospital |
| United Hospital Center, Inc | Bridgeport, WV | Hospital |
| Davis Medical Center | Elkins, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Joseph's Hospital Of Buckhannon Inc | 6709828163 | 98 |
| United Hospital Center Inc | 8123936010 | 290 |
| Entity Name | United Hospital Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760965586 PECOS PAC ID: 8123936010 Enrollment ID: O20031212000802 |
| Entity Name | St Joseph's Hospital of Buckhannon Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124005061 PECOS PAC ID: 6709828163 Enrollment ID: O20050525000839 |
| Entity Name | St Joseph's Hospital of Buckhannon Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1124005061 PECOS PAC ID: 6709828163 Enrollment ID: O20230204000431 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Danielle Travise, PA-C 227 Medical Park Dr, Ste101, Bridgeport, WV 26330-9038 Ph: (681) 342-3490 | Mrs Danielle Travise, PA-C 227 Medical Park Dr, Ste101, Bridgeport, WV 26330-9038 Ph: (681) 342-3490 |
Ms. Heather J Earl, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 227 Medical Park Dr Ste 103, Bridgeport, WV 26330 Phone: 681-342-3500 |
Brandy M Straface, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 527 Medical Park Dr Ste 401, Bridgeport, WV 26330 Phone: 681-342-3570 Fax: 681-342-3575 |
Mr. Billy J Bragg, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 215 W Main St, Bridgeport, WV 26330 Phone: 304-842-6645 Fax: 304-842-4909 |
Juilia Barker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-3660 |
Padraig Kirkwood, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19 Salisbury Cir, Bridgeport, WV 26330 Phone: 304-709-2386 |
Mandolin Deborah Hoffman-marino, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 135 Professional Place, Bridgeport, WV 26330 Phone: 681-342-3660 Fax: 681-342-3598 |
Patricia Lynn Ross, MPA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 104 Orchard Ave, Bridgeport, WV 26330 Phone: 304-842-8819 |