| Susan R Carr, FNP-BC | |
|
135 S Penn Ave, Harrisville, WV 26362-1371 | |
| (304) 643-4005 | |
| (304) 643-4007 |
| Full Name | Susan R Carr |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 135 S Penn Ave, Harrisville, 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 |
|---|---|---|---|
| 1932414364 | NPI | - | NPPES |
| 3810018904 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 55537 (West Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0037818 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marietta Memorial Hospital | Marietta, OH | Hospital |
| Camden Clark Medical Center | Parkersburg, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Marietta Memorial Hospital | 8224928965 | 353 |
| Entity Name | Marietta Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962106328 PECOS PAC ID: 8224928965 Enrollment ID: O20040317000973 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan R Carr, FNP-BC Po Box 373, Harrisville, WV 26362-0373 Ph: (304) 643-4005 | Susan R Carr, FNP-BC 135 S Penn Ave, Harrisville, WV 26362-1371 Ph: (304) 643-4005 |
Phyllis Ann Hammer, C-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1401 E Pearl St, Harrisville, WV 26362 Phone: 304-643-2957 Fax: 304-643-2958 | |
Lily Campbell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 135 S Penn Ave, Harrisville, WV 26362 Phone: 304-643-4007 | |
Karrissa Elizabeth Knight, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135 S Penn Ave, Harrisville, WV 26362 Phone: 304-643-4005 | |
Mrs. Barbara L Stagg, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 135 S Penn Ave, Harrisville, WV 26362 Phone: 304-643-4005 Fax: 304-643-4007 | |
Patricia Jane Mays, RNC WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 135 South Penn Ave, Harrisville, WV 26362 Phone: 304-643-4005 Fax: 304-643-4007 | |
Cristy Cupp, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 135 S Penn Ave, Harrisville, WV 26362 Phone: 304-643-4005 | |
Andrea Nicole Reed, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135 S Penn Ave, Harrisville, WV 26362 Phone: 304-643-4005 Fax: 304-643-4007 |