| Ursula Dawn Perry, | |
|
401 6th Ave, Montgomery, WV 25136-2199 | |
| (304) 442-5151 | |
| (304) 442-7463 |
| Full Name | Ursula Dawn Perry |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 401 6th Ave, Montgomery, 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 |
|---|---|---|---|
| 1750152328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 88944 (West Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 118917 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of West Virginia | Charleston, WV | Home health agency |
| Montgomery General Hospital, Inc | Montgomery, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Montgomery General Hospital, Inc | 6204735269 | 36 |
| Entity Name | Montgomery General Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619913647 PECOS PAC ID: 6204735269 Enrollment ID: O20040108000241 |
| Mailing Address | Practice Location Address |
|---|---|
| Ursula Dawn Perry, 6 Meadow Rd, Charleston, WV 25314-2200 Ph: (304) 206-8810 | Ursula Dawn Perry, 401 6th Ave, Montgomery, WV 25136-2199 Ph: (304) 442-5151 |
Ms. Erica Rennee Cervera, RN, MSN, APRN, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 6th Ave, Montgomery, WV 25136 Phone: 304-442-5151 Fax: 304-442-7494 | |
Alice Lee Lockman, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 6th Ave, Montgomery, WV 25136 Phone: 304-442-5151 Fax: 304-442-7494 | |
Madeline Wilson Burns, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 6th Ave, Montgomery, WV 25136 Phone: 304-442-5151 Fax: 304-442-7494 |