| 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 - Family | 
| Location | 401 6th Ave, Montgomery, 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 | 
|---|---|---|---|
| 1750152328 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 88944 (West Virginia) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 118917 (West Virginia) | Primary | 
| 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  |