| Tyler John Halstead, PA-C | |
|
4111 1st Ave Ste 3, Nitro, WV 25143-1345 | |
| (304) 755-4797 | |
| (304) 755-4799 |
| Full Name | Tyler John Halstead |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 4111 1st Ave Ste 3, Nitro, West Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730725151 | NPI | - | NPPES |
| 1730725151 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 826 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Thomas Memorial Hospital | South charleston, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Charleston Area Medical Center Inc | 3375441637 | 675 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler John Halstead, PA-C 4111 1st Ave Ste 3, Nitro, WV 25143-1345 Ph: (304) 755-4797 | Tyler John Halstead, PA-C 4111 1st Ave Ste 3, Nitro, WV 25143-1345 Ph: (304) 755-4797 |
Joanna B. Stover, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4111 1st Ave, Suite 3, Nitro, WV 25143 Phone: 304-755-4797 Fax: 304-755-4799 | |
Ms. Melisa Jane Snodgrass, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6a Bank St, Nitro, WV 25143 Phone: 304-306-3058 Fax: 304-306-3059 | |
Abigail Renee Grant, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 123 Main Ave, Nitro, WV 25143 Phone: 304-550-7153 |