| Traci Marlena Phillips, BSN,RN,MSN,FNP-BC | |
|
723 9th Ave, Huntington, WV 25701-2718 | |
| (045) 290-6453 | |
| (304) 529-3026 |
| Full Name | Traci Marlena Phillips |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 723 9th Ave, Huntington, 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 |
|---|---|---|---|
| 1578890752 | NPI | - | NPPES |
| 7100116110 | Medicaid | KY | |
| 3040355 | Medicaid | OH | |
| 3810017383 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 66503 (West Virginia) | Primary |
| Entity Name | Valley Health Systems, Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1902962368 PECOS PAC ID: 9931017969 Enrollment ID: O20040325000411 |
| Entity Name | Valley Health Systems, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720333461 PECOS PAC ID: 9931017969 Enrollment ID: O20130319000031 |
| Entity Name | Valley Health Systems, Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1659346757 PECOS PAC ID: 9931017969 Enrollment ID: O20130416000329 |
| Entity Name | Valley Health Systems, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164730271 PECOS PAC ID: 9931017969 Enrollment ID: O20130611000841 |
| Entity Name | Valley Health Systems, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154697431 PECOS PAC ID: 9931017969 Enrollment ID: O20130807000731 |
| Entity Name | Valley Health Systems, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194790022 PECOS PAC ID: 9931017969 Enrollment ID: O20131009001233 |
| Entity Name | Valley Health Systems, Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1760458350 PECOS PAC ID: 9931017969 Enrollment ID: O20131108000224 |
| Entity Name | Valley Health Systems, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700446929 PECOS PAC ID: 9931017969 Enrollment ID: O20191202000085 |
| Entity Name | Valley Health Systems, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568232312 PECOS PAC ID: 9931017969 Enrollment ID: O20241211001210 |
| Mailing Address | Practice Location Address |
|---|---|
| Traci Marlena Phillips, BSN,RN,MSN,FNP-BC Po Box 1680, Huntington, WV 25717-1680 Ph: (304) 528-6445 | Traci Marlena Phillips, BSN,RN,MSN,FNP-BC 723 9th Ave, Huntington, WV 25701-2718 Ph: (045) 290-6453 |
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 |