| Tracie F Bonner, FNP | |
|
122 Center St, Clay, WV 25043-7046 | |
| (304) 587-7301 | |
| (304) 587-2464 |
| Full Name | Tracie F Bonner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 122 Center St, Clay, 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 |
|---|---|---|---|
| 1679709554 | NPI | - | NPPES |
| 1679709554 | Medicaid | WV | |
| 52119 | Other | WV | STATE NP LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 52119 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thomas Memorial Hospital | South charleston, WV | Hospital |
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Care Of West Virginia, Inc. | 0446232987 | 79 |
| Ths Physician Partners Inc | 9537316393 | 236 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609042266 PECOS PAC ID: 0446232987 Enrollment ID: O20040607001043 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1164653457 PECOS PAC ID: 0446232987 Enrollment ID: O20071024000166 |
| Entity Name | Ths Physician Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871866806 PECOS PAC ID: 9537316393 Enrollment ID: O20120829000738 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114277050 PECOS PAC ID: 0446232987 Enrollment ID: O20130226000610 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770917577 PECOS PAC ID: 0446232987 Enrollment ID: O20131219001230 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191206001144 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracie F Bonner, FNP 122 Center St, Clay, WV 25043-7046 Ph: (304) 587-7301 | Tracie F Bonner, FNP 122 Center St, Clay, WV 25043-7046 Ph: (304) 587-7301 |
Aniela Sharee Settle, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Center St Ste 1, Clay, WV 25043 Phone: 304-587-7301 Fax: 304-587-2464 | |
Angela B. Brown, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 452 Main Street, Clay, WV 25043 Phone: 304-587-4269 Fax: 304-587-7415 | |
Angela Gayle Carter, APRN, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Center St, Clay, WV 25043 Phone: 304-587-7301 Fax: 304-587-2464 | |
Victoria M Dobbins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Center St, Clay, WV 25043 Phone: 304-587-7301 Fax: 304-587-2464 | |
Mr. Jeremy Walker, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Center St, Clay, WV 25043 Phone: 304-587-7301 Fax: 304-587-2464 | |
Torie Alice Lynn Harper, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Center St, Clay, WV 25043 Phone: 304-587-7301 | |
Brandy Elizabeth Chandler, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 122 Center St, Clay, WV 25043 Phone: 304-587-7301 Fax: 304-587-2464 |