| Family Healthcare Associates Inc | |
|
205 Howard Avenue Mullens WV 25882-0205 | |
| (304) 294-4880 | |
| (304) 294-6480 |
| Full Name | Family Healthcare Associates Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 205 Howard Avenue, Mullens, West Virginia |
| Authorized Official Name and Position | Samuel A Muscari (PRESIDENT) |
| Authorized Official Contact | 3042944880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Healthcare Associates Inc Po Box 1650 97 Main Ave Pineville WV 24874-1650 Ph: (304) 732-6735 | Family Healthcare Associates Inc 205 Howard Avenue Mullens WV 25882-0205 Ph: (304) 294-4880 |
| NPI Number | 1700815800 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 07/12/2010 |
| Medicare PECOS PAC ID | 8325957996 |
|---|---|
| Medicare Enrollment ID | O20031210000848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700815800 | NPI | - | NPPES |
| 0034346002 | Medicaid | WV | |
| FA9306623 | Other | WV | RURAL NET STATE MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 2010-000,413 (West Virginia) | Primary |
| Provider Name | Rachel Leigh Stover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700880762 PECOS PAC ID: 8729072368 Enrollment ID: I20040414001204 |
| Provider Name | Michael A Muscari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528170438 PECOS PAC ID: 2860301439 Enrollment ID: I20040621000001 |
| Provider Name | Anthony Flaim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497867311 PECOS PAC ID: 3678482247 Enrollment ID: I20050921000269 |
| Provider Name | Samuel Muscari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578675492 PECOS PAC ID: 0042129611 Enrollment ID: I20080317000334 |
| Provider Name | Samuel Muscari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598877409 PECOS PAC ID: 1951210525 Enrollment ID: I20080508000054 |
| Provider Name | Julie A Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639545395 PECOS PAC ID: 9133438823 Enrollment ID: I20151020001967 |
| Provider Name | Sherry Bragg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942673843 PECOS PAC ID: 6901102565 Enrollment ID: I20160308000535 |
| Provider Name | Jennifer Fain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679922132 PECOS PAC ID: 8527350578 Enrollment ID: I20160712001029 |
| Provider Name | Leah Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841873791 PECOS PAC ID: 6800293622 Enrollment ID: I20210921003986 |
| Provider Name | Evan Muscari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922624881 PECOS PAC ID: 0143646224 Enrollment ID: I20211005002496 |
| Provider Name | Ashley Lovern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730854142 PECOS PAC ID: 8628469053 Enrollment ID: I20211220001230 |