| Naomi Bakera, | |
|
117 Sassafras Way, Bridgeport, WV 26330-1916 | |
| (206) 380-1263 | |
| Not Available |
| Full Name | Naomi Bakera |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 117 Sassafras Way, Bridgeport, 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 |
|---|---|---|---|
| 1922877505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| 363AM0700X | Physician Assistant - Medical | (NU) | Secondary |
| Entity Name | Tarheel Foot & Specialty Care PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245780303 PECOS PAC ID: 2567728546 Enrollment ID: O20171108000006 |
| Entity Name | Amputation Prevention Center of North Carolina LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073148581 PECOS PAC ID: 4486083664 Enrollment ID: O20200409001728 |
| Mailing Address | Practice Location Address |
|---|---|
| Naomi Bakera, 117 Sassafras Way, Bridgeport, WV 26330-1916 Ph: Not Available | Naomi Bakera, 117 Sassafras Way, Bridgeport, WV 26330-1916 Ph: (206) 380-1263 |
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 |