| Stacey Jo Kettlewell, PA-C | |
|
1 Medical Park, Wheeling, WV 26003-6379 | |
| (304) 243-3000 | |
| (304) 243-3060 |
| Full Name | Stacey Jo Kettlewell |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 1 Medical Park, Wheeling, 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 |
|---|---|---|---|
| 1164806956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | (West Virginia) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 1904 (West Virginia) | Primary |
| Entity Name | Wheeling Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548923923 PECOS PAC ID: 5799689493 Enrollment ID: O20031124000706 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Jo Kettlewell, PA-C 1 Medical Park, Wheeling, WV 26003-6379 Ph: (304) 243-3000 | Stacey Jo Kettlewell, PA-C 1 Medical Park, Wheeling, WV 26003-6379 Ph: (304) 243-3000 |
Ms. Chelsea W Hewitt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 76 16th Street, Wheeling, WV 26003 Phone: 304-238-0212 Fax: 304-238-0215 |
Ms. Tonda Marie Stauffer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 Medical Park, Suite 230, Wheeling, WV 26003 Phone: 304-242-4660 Fax: 304-242-6430 |
Emily Taylor Matteson, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 30 Medical Park Ste 223, Wheeling, WV 26003 Phone: 304-243-7928 |
Mrs. Wendy Sue Allenby, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 Medical Park, Suite 233, Wheeling, WV 26003 Phone: 304-242-9560 Fax: 304-242-4840 |
Brittney J Sobota, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park, Wheeling Hospital Inc, Wheeling, WV 26003 Phone: 304-243-3000 Fax: 304-243-1038 |
Katie Lynn Bolduc, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2101 Chapline St, Wheeling, WV 26003 Phone: 304-233-3240 Fax: 304-232-6128 |
Carly Christine Mccardle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park, Wheeling, WV 26003 Phone: 304-243-3000 |