| Ms Teresa Lynn Tate, APRN,BC | |
|
106 Lockheed Dr, Beaver, WV 25813-8962 | |
| (304) 253-5155 | |
| (691) 207-7011 |
| Full Name | Ms Teresa Lynn Tate |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 106 Lockheed Dr, Beaver, 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 |
|---|---|---|---|
| 1194776039 | NPI | - | NPPES |
| 1611 | Other | WV | RXA |
| 3810007225 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 51350 (West Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anchor Medical Llc | 2062635691 | 3 |
| Entity Name | Anchor Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114342243 PECOS PAC ID: 2062635691 Enrollment ID: O20140528001739 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Teresa Lynn Tate, APRN,BC 106 Lockheed Dr, Beaver, WV 25813-8962 Ph: (304) 253-5155 | Ms Teresa Lynn Tate, APRN,BC 106 Lockheed Dr, Beaver, WV 25813-8962 Ph: (304) 253-5155 |
Mr. Conley V White, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 857 Wandering Ln, Beaver, WV 25813 Phone: 304-207-2961 | |
Brittany Lynn Miller, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 354 Commerce Dr, Beaver, WV 25813 Phone: 304-250-0150 Fax: 304-250-0153 | |
Ms. Kimberly Bolen, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 856 Ritter Dr, Beaver, WV 25813 Phone: 304-255-4845 | |
Sherry L Duvall, C-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 134 Medical Place, Airport Industrial Park, Commerce Drive, Beaver, WV 25813 Phone: 304-255-1080 Fax: 304-255-1082 | |
Kelly Lynn Legg, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 354 Commerce Dr, Beaver, WV 25813 Phone: 304-250-0150 | |
Amanda Rene Duesing, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 106 Lockheed Dr, Beaver, WV 25813 Phone: 304-253-5155 Fax: 681-207-7011 |