| Jenna M Bain, CRNP | |
|
1320 Maplewood Ave, Ronceverte, WV 24970-8016 | |
| (304) 647-6006 | |
| Not Available |
| Full Name | Jenna M Bain |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1320 Maplewood Ave, Ronceverte, 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 |
|---|---|---|---|
| 1548823628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 105700 (West Virginia) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 4019424 (Kentucky) | Secondary |
| Entity Name | Regional Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174520654 PECOS PAC ID: 4880593722 Enrollment ID: O20040108000694 |
| Entity Name | University Of Pittsburgh Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883 |
| Entity Name | Upmc Altoona |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497831655 PECOS PAC ID: 8426962465 Enrollment ID: O20040406001094 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna M Bain, CRNP 501 Morris St, Charleston, WV 25301-1326 Ph: (304) 647-6006 | Jenna M Bain, CRNP 1320 Maplewood Ave, Ronceverte, WV 24970-8016 Ph: (304) 647-6006 |
Tina Halterman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 122 Maplewood Ave, Ronceverte, WV 24970 Phone: 304-645-4406 Fax: 304-645-4492 | |
Jana M Whited, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1322 Maplewood Ave Ste A, Ronceverte, WV 24970 Phone: 304-647-5114 Fax: 304-647-3006 | |
Taylor Danielle Morgan, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 423 Erwin Morgan Ln, Ronceverte, WV 24970 Phone: 304-992-2442 | |
Bailee Judy, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 979 Rocky Hill Rd, Ronceverte, WV 24970 Phone: 304-645-7270 | |
Julie Ann Quillin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9016 Seneca Trl S, Ronceverte, WV 24970 Phone: 681-318-3477 Fax: 681-318-3479 | |
Kala Nicole Dameron, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1320 Maplewood Ave, Ronceverte, WV 24970 Phone: 304-647-4411 |