| Shane David Wilson, AGACNP-BC | |
|
1249 15th St Ste 4000, Huntington, WV 25701-3663 | |
| (304) 766-3600 | |
| Not Available |
| Full Name | Shane David Wilson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1249 15th St Ste 4000, Huntington, West Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437624236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 63040 (West Virginia) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 63040 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mon Health Medical Center | Morgantown, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Monongalia County General Hospital Company | 9638073380 | 212 |
| Entity Name | Monongalia County General Hospital Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447673223 PECOS PAC ID: 9638073380 Enrollment ID: O20031124000459 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane David Wilson, AGACNP-BC 201 Parkstone Dr, Fraziers Bottom, WV 25082-6977 Ph: (304) 382-1090 | Shane David Wilson, AGACNP-BC 1249 15th St Ste 4000, Huntington, WV 25701-3663 Ph: (304) 766-3600 |
Katrina Nicole Watkins, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2828 1st Ave Ste 204, Huntington, WV 25702 Phone: 304-525-7111 | |
Charles Jason Smith, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4540 Us Route 60, Huntington, WV 25705 Phone: 304-525-7111 | |
Eric L. Ping, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2828 1st Ave, Suite 200, Huntington, WV 25702 Phone: 304-399-7530 Fax: 304-399-7532 | |
Mr. Bobby Lee Marcum, C-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1340 Hal Greer Boulevard, Attn: Tammie Silva, Huntington, WV 25701 Phone: 304-526-2200 Fax: 304-526-2139 | |
Mrs. Heather Payne, FNP-BC, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 Spring Valley Dr, Huntington, WV 25704 Phone: 304-429-6755 | |
Mrs. Lindsay Ruth Gotham, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2900 1st Ave, Huntington, WV 25702 Phone: 045-261-2343 | |
Ms. Patricia S Wright, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2828 1st Ave, Huntington, WV 25702 Phone: 304-529-0483 Fax: 304-781-2687 |