| Healing Ways Healthcare, Pllc | |
|
207 S Princess Street Suite 11 Shepherdstown WV 25443-1683 | |
| (304) 261-0313 | |
| (304) 876-2001 |
| Full Name | Healing Ways Healthcare, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 207 S Princess Street Suite 11, Shepherdstown, West Virginia |
| Authorized Official Name and Position | Kristina A Maciunas (DIRECTOR PHYSICIAN) |
| Authorized Official Contact | 3042610313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Ways Healthcare, Pllc Po Box 1683 Shepherdstown WV 25443-1683 Ph: (304) 261-0313 | Healing Ways Healthcare, Pllc 207 S Princess Street Suite 11 Shepherdstown WV 25443-1683 Ph: (304) 261-0313 |
| NPI Number | 1497135719 |
|---|---|
| Provider Enumeration Date | 06/02/2015 |
| Last Update Date | 06/02/2015 |
| Medicare PECOS PAC ID | 3779895818 |
|---|---|
| Medicare Enrollment ID | O20150702001420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497135719 | NPI | - | NPPES |
| 0045551000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 17514 (West Virginia) | Primary |
| Provider Name | Kristina Aldona Maciunas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669474755 PECOS PAC ID: 6608891932 Enrollment ID: I20051006000075 |
| Provider Name | Elizabeth Catherine Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811419013 PECOS PAC ID: 1355601394 Enrollment ID: I20180212001791 |
| Provider Name | Caroline Clagett Mcleod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972074565 PECOS PAC ID: 3274874243 Enrollment ID: I20190402000326 |
Potomac Integrative Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 S Princess Street, Suite 11, Shepherdstown, WV 25443 Phone: 304-579-4746 Fax: 304-579-4673 | |
Potomac Integrative Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 Maddex Square Drive, Shepherdstown, WV 25443 Phone: 304-876-2447 |