| Robert C Byrd Clinic | |
|
1464 Jefferson St N Lewisburg WV 24901-1380 | |
| (304) 645-3220 | |
| (304) 645-4103 |
| Full Name | Robert C Byrd Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1464 Jefferson St N, Lewisburg, West Virginia |
| Authorized Official Name and Position | Scot Mitchell (CHIEF EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3046453220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert C Byrd Clinic 1464 Jefferson St N Lewisburg WV 24901-1380 Ph: (304) 645-3220 | Robert C Byrd Clinic 1464 Jefferson St N Lewisburg WV 24901-1380 Ph: (304) 645-3220 |
| NPI Number | 1871539296 |
|---|---|
| Provider Enumeration Date | 06/22/2006 |
| Last Update Date | 06/17/2021 |
| Medicare PECOS PAC ID | 0941113427 |
|---|---|
| Medicare Enrollment ID | O20031111000104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871539296 | NPI | - | NPPES |
| 0006045000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Mark H Waddell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780741066 PECOS PAC ID: 7719979038 Enrollment ID: I20040330000679 |
| Provider Name | John M Garlitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194758003 PECOS PAC ID: 6709879505 Enrollment ID: I20040407000341 |
| Provider Name | Edward A Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275568552 PECOS PAC ID: 4082688999 Enrollment ID: I20040825000408 |
| Provider Name | Charles S Mcclung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538137559 PECOS PAC ID: 3678529310 Enrollment ID: I20050623000010 |
| Provider Name | Aaron Michael Mcguffin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124083662 PECOS PAC ID: 5799707964 Enrollment ID: I20060103000097 |
| Provider Name | Shannon Bashlor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811933146 PECOS PAC ID: 8426067497 Enrollment ID: I20060419000627 |
| Provider Name | Rachel L Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629063532 PECOS PAC ID: 4385543586 Enrollment ID: I20080228000685 |
| Provider Name | Kathleen J. Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437271541 PECOS PAC ID: 0840362570 Enrollment ID: I20080711000445 |
| Provider Name | Jeanette S Heal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952559445 PECOS PAC ID: 4385705482 Enrollment ID: I20081208000579 |
| Provider Name | Maple Timothy Landvoigt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982833760 PECOS PAC ID: 2466598883 Enrollment ID: I20091014000822 |
| Provider Name | Andrea Nazar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952372344 PECOS PAC ID: 7416084470 Enrollment ID: I20100422000646 |
| Provider Name | Zachary J. Comeaux |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1215909478 PECOS PAC ID: 2062549645 Enrollment ID: I20100430000219 |
| Provider Name | Jeffery T Braham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790788545 PECOS PAC ID: 5193725398 Enrollment ID: I20100513001163 |
| Provider Name | Deborah Schmidt |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1598798357 PECOS PAC ID: 0244271047 Enrollment ID: I20110503000431 |
| Provider Name | Abigail A Frank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871898650 PECOS PAC ID: 9032359542 Enrollment ID: I20130705000167 |
| Provider Name | Dina Schaper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942446869 PECOS PAC ID: 4789733882 Enrollment ID: I20131106000803 |
| Provider Name | Lorene Prazak Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669802062 PECOS PAC ID: 4789815994 Enrollment ID: I20140331001911 |
| Provider Name | Jocelyn E Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447667167 PECOS PAC ID: 5799007209 Enrollment ID: I20141210002395 |
| Provider Name | Jennifer N Rose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003175993 PECOS PAC ID: 4587817242 Enrollment ID: I20150116000418 |
| Provider Name | Angela Pendleton |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568729267 PECOS PAC ID: 5294053435 Enrollment ID: I20150420000094 |
| Provider Name | Sabrina D Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942625488 PECOS PAC ID: 5294045035 Enrollment ID: I20151109000075 |
| Provider Name | Jessica Smith-kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124381488 PECOS PAC ID: 9537306626 Enrollment ID: I20160629002090 |
| Provider Name | Emily Boothe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841634946 PECOS PAC ID: 9931472289 Enrollment ID: I20170907002593 |
| Provider Name | Hilary H Hamric |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780094789 PECOS PAC ID: 2466754163 Enrollment ID: I20171103000487 |
| Provider Name | Lauren E Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558654970 PECOS PAC ID: 7012168545 Enrollment ID: I20180430000549 |
| Provider Name | Jesse R Chaffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386025310 PECOS PAC ID: 6204142391 Enrollment ID: I20181207001949 |
| Provider Name | Amy Jasperse |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376717462 PECOS PAC ID: 8628270808 Enrollment ID: I20200131000652 |
| Provider Name | Chelsea Feger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750818316 PECOS PAC ID: 6103249776 Enrollment ID: I20200715000991 |
| Provider Name | Christopher Paul Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184158107 PECOS PAC ID: 9830468990 Enrollment ID: I20200716001254 |
| Provider Name | Deanann Farris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174761217 PECOS PAC ID: 3779713144 Enrollment ID: I20200721003820 |
| Provider Name | Christopher D Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053570101 PECOS PAC ID: 3779739974 Enrollment ID: I20210624000158 |
| Provider Name | Richard D Porter |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1174013726 PECOS PAC ID: 1850793662 Enrollment ID: I20210715001298 |
| Provider Name | Pamela M Dewilde |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1003305533 PECOS PAC ID: 9335537430 Enrollment ID: I20211021002933 |
| Provider Name | Jennifer A Hines |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043491871 PECOS PAC ID: 7719107739 Enrollment ID: I20211227000281 |
| Provider Name | Mina M Botross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083102305 PECOS PAC ID: 9931576162 Enrollment ID: I20221101001748 |
| Provider Name | Walter Witryol |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861464505 PECOS PAC ID: 6103814983 Enrollment ID: I20230424000179 |
| Provider Name | Brooke Fulscher Modlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528748464 PECOS PAC ID: 2264886175 Enrollment ID: I20230926004467 |
| Provider Name | Kayla Iris Cuadros |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1033733530 PECOS PAC ID: 4880040492 Enrollment ID: I20231101003401 |
New Covenant Pediatric Center, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rr 2 Box 375g, Lewisburg, WV 24901 Phone: 304-645-8009 Fax: 304-645-8011 | |
Greenbrier Vmc Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rr 2 Box 171-c, Greyrock Professional Park, Lewisburg, WV 24901 Phone: 304-793-2059 | |
Mary Lou Fragile Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rr 2 Box 171c, Greyrock Prof Park, Lewisburg, WV 24901 Phone: 304-647-3331 Fax: 304-647-9799 | |
Lewisburg Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 296 Fair St, Lewisburg, WV 24901 Phone: 304-438-6188 Fax: 304-438-6819 | |
Mcclung Health And Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 226 Skylar Dr, Lewisburg, WV 24901 Phone: 304-647-9971 Fax: 304-647-9973 | |
Jefferson Cardiology And Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 N Jefferson St, Lewisburg, WV 24901 Phone: 304-645-3280 Fax: 304-645-3307 | |
Fritz's Pharmacy Ii Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1318 Jefferson Street North, Suite #2, Lewisburg, WV 24901 Phone: 304-645-7447 |