| Sandra L Estep, FNP-BC | |
|
Route 103 Supply Street, Gary, WV 24836 | |
| (304) 448-2101 | |
| (304) 448-3217 |
| Full Name | Sandra L Estep |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | Route 103 Supply Street, Gary, 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 |
|---|---|---|---|
| 1184705816 | NPI | - | NPPES |
| 001713997 | Other | WV | BCBS |
| 3810004477 | Medicaid | WV | |
| P00171749 | Other | WV | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 341349-22 (West Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tug River Health Association, Inc | 7214820547 | 13 |
| Entity Name | Tug River Health Association, Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1174501068 PECOS PAC ID: 7214820547 Enrollment ID: O20051010000216 |
| Entity Name | Tug River Health Association, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295033009 PECOS PAC ID: 7214820547 Enrollment ID: O20200213001912 |
| Entity Name | Tug River Health Association, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639842818 PECOS PAC ID: 7214820547 Enrollment ID: O20220514000276 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra L Estep, FNP-BC Hc 60 Box 355, Iaeger, WV 24844-9428 Ph: (304) 938-5283 | Sandra L Estep, FNP-BC Route 103 Supply Street, Gary, WV 24836 Ph: (304) 448-2101 |
Amy Lee West, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5883 Black Diamond Highway, Gary, WV 24836 Phone: 304-448-2101 | |
Lavetta Hutchinson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Route 103 Supply Street, Gary, WV 24836 Phone: 304-448-2101 Fax: 304-448-3217 | |
Mrs. Tamera Beth Ball, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Venus Drive, Gary, WV 24836 Phone: 304-448-2121 | |
Keisha R Saunders, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Rr 103 Supply Street, Gary, WV 24836 Phone: 304-448-2101 Fax: 304-448-3217 |