| Stephanie Lynn Vickers, RN | |
|
606 Washington St, Ravenswood, WV 26164-1730 | |
| (304) 273-1033 | |
| (304) 273-1034 |
| Full Name | Stephanie Lynn Vickers |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 606 Washington St, Ravenswood, 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 |
|---|---|---|---|
| 1265103394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 110905 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Jackson General Hospital | Ripley, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wirt County Health Services Association, Inc | 7810806577 | 29 |
| Entity Name | Wirt County Health Services Association, Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1043401730 PECOS PAC ID: 7810806577 Enrollment ID: O20080602000050 |
| Entity Name | Wirt County Health Services Association, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760733984 PECOS PAC ID: 7810806577 Enrollment ID: O20140317001851 |
| Entity Name | Wirt County Health Services Association, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265615728 PECOS PAC ID: 7810806577 Enrollment ID: O20140729001132 |
| Entity Name | Wirt County Health Services Association, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548777527 PECOS PAC ID: 7810806577 Enrollment ID: O20191021002731 |
| Entity Name | Wirt County Health Services Association, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750868675 PECOS PAC ID: 7810806577 Enrollment ID: O20210712001019 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Lynn Vickers, RN 606 Washington St, Ravenswood, WV 26164-1730 Ph: (304) 273-1033 | Stephanie Lynn Vickers, RN 606 Washington St, Ravenswood, WV 26164-1730 Ph: (304) 273-1033 |
Murrita C. Bolinger, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 Washington Street, Ravenswood, WV 26164 Phone: 304-273-1033 Fax: 304-273-1034 | |
Adrienne Virginia Acord, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 403 Professional Cir, Ravenswood, WV 26164 Phone: 304-865-3631 | |
Jessica Elaine Wooten, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 Washington St, Ravenswood, WV 26164 Phone: 304-273-1033 Fax: 304-273-1034 | |
Kathleen Ann Bowsher, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1742 Ravenswood Rd, Ravenswood, WV 26164 Phone: 419-513-0006 | |
Lily Beth Hill, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 403 Professional Cir, Ravenswood, WV 26164 Phone: 304-865-3631 | |
Lindsey Denee' Bush, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Washington St # A, Ravenswood, WV 26164 Phone: 304-868-6000 Fax: 304-868-6002 |