| Eventus Premier Healthcare - West Virginia LLC | |
|
128 Capitol St Charleston WV 25301-2610 | |
| (844) 932-5700 | |
| Not Available |
| Full Name | Eventus Premier Healthcare - West Virginia LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 128 Capitol St, Charleston, West Virginia |
| Authorized Official Name and Position | Bradley Goad (OWNER) |
| Authorized Official Contact | 8449325700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eventus Premier Healthcare - West Virginia LLC Po Box 1431 Dept 430 Charlotte NC 28201-1431 Ph: (844) 932-5700 | Eventus Premier Healthcare - West Virginia LLC 128 Capitol St Charleston WV 25301-2610 Ph: (844) 932-5700 |
| NPI Number | 1497576417 |
|---|---|
| Provider Enumeration Date | 10/22/2024 |
| Last Update Date | 06/12/2026 |
| Certification Date | 06/12/2026 |
| Medicare PECOS PAC ID | 7719417815 |
|---|---|
| Medicare Enrollment ID | O20250204003455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497576417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
| Provider Name | Timothy Prescott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104868231 PECOS PAC ID: 6709817869 Enrollment ID: I20050829000335 |
| Provider Name | Kristin Daveen Bowman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992923783 PECOS PAC ID: 5294887808 Enrollment ID: I20090713000346 |
| Provider Name | Jessica S Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780941831 PECOS PAC ID: 2365604790 Enrollment ID: I20120502000009 |
| Provider Name | Megan Abbott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063889749 PECOS PAC ID: 0446550974 Enrollment ID: I20230905003992 |
| Provider Name | Michael Saval |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407483894 PECOS PAC ID: 6204748866 Enrollment ID: I20240430000206 |
| Provider Name | Bradley Goad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285617241 PECOS PAC ID: 1456244391 Enrollment ID: I20240923000320 |
| Provider Name | Cassandra Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205723897 PECOS PAC ID: 5496242034 Enrollment ID: I20260122000258 |
| Provider Name | Tara Faith Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295602688 PECOS PAC ID: 1951880715 Enrollment ID: I20260211002516 |
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