| Rachel I Sigel Domenico, FNP-BC | |
|
5047 Gerrardstown Rd Ste 2a, Inwood, WV 25428-3951 | |
| (304) 229-2273 | |
| Not Available |
| Full Name | Rachel I Sigel Domenico |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5047 Gerrardstown Rd Ste 2a, Inwood, 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 |
|---|---|---|---|
| 1740269208 | NPI | - | NPPES |
| 3810019769 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024164223 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 41872 (West Virginia) | Primary |
| Entity Name | Jefferson Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891722377 PECOS PAC ID: 0446151989 Enrollment ID: O20040116000736 |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel I Sigel Domenico, FNP-BC 2500 Foundation Way, Martinsburg, WV 25401-9000 Ph: (304) 264-9202 | Rachel I Sigel Domenico, FNP-BC 5047 Gerrardstown Rd Ste 2a, Inwood, WV 25428-3951 Ph: (304) 229-2273 |
Taylor Guyer, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5047 Gerrardstown Rd Ste 2a, Inwood, WV 25428 Phone: 304-229-2273 Fax: 304-821-1450 | |
Sandra V Ross, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5047 Gerrardstown Rd Ste 2a, Inwood, WV 25428 Phone: 304-229-2273 Fax: 304-821-1450 |