| Shenandoah Valley Medical System, Inc. | |
|
99 Tavern Rd Martinsburg WV 25401-2890 | |
| (304) 263-4999 | |
| Not Available |
| Full Name | Shenandoah Valley Medical System, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 99 Tavern Rd, Martinsburg, West Virginia |
| Authorized Official Name and Position | Michael Hassing (CEO) |
| Authorized Official Contact | 3042634999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shenandoah Valley Medical System, Inc. Po Box 1146 Martinsburg WV 25402-2890 Ph: (304) 263-4999 | Shenandoah Valley Medical System, Inc. 99 Tavern Rd Martinsburg WV 25401-2890 Ph: (304) 263-4999 |
| NPI Number | 1083617823 |
|---|---|
| Provider Enumeration Date | 05/24/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9739093097 |
|---|---|
| Medicare Enrollment ID | O20031119000556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083617823 | NPI | - | NPPES |
| 0035217000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (West Virginia) | Primary |
| Provider Name | Melisa Figueroa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386643039 PECOS PAC ID: 2264515816 Enrollment ID: I20080206000193 |
| Provider Name | Melissa Michele Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477798817 PECOS PAC ID: 6204992159 Enrollment ID: I20090302000581 |
| Provider Name | Antonio Santiago Garcia Merino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861635989 PECOS PAC ID: 9830223312 Enrollment ID: I20100819000431 |
| Provider Name | Heather Anne Eckenrode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881971588 PECOS PAC ID: 6406095371 Enrollment ID: I20130625000798 |
| Provider Name | Michael Ting Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154435006 PECOS PAC ID: 7416053921 Enrollment ID: I20151120001679 |
| Provider Name | Ivelisse Morales-rios |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1710225917 PECOS PAC ID: 6204132335 Enrollment ID: I20160315002492 |
| Provider Name | Cherish L Crawford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811332505 PECOS PAC ID: 7012150022 Enrollment ID: I20160815000578 |
| Provider Name | Bridget Magnetti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316946973 PECOS PAC ID: 6901193960 Enrollment ID: I20160920001290 |
| Provider Name | Amanda Giuliani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508380353 PECOS PAC ID: 9133487630 Enrollment ID: I20171211000177 |
| Provider Name | Lauren Kricheff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629060082 PECOS PAC ID: 2365748829 Enrollment ID: I20180709000005 |
| Provider Name | Bipin Shrestha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598147043 PECOS PAC ID: 4688989445 Enrollment ID: I20181226000238 |
| Provider Name | Kerry A Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699383414 PECOS PAC ID: 9032534250 Enrollment ID: I20200805002284 |
| Provider Name | David Kulling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528028800 PECOS PAC ID: 5496765554 Enrollment ID: I20201002002048 |
| Provider Name | Mchaley Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700413515 PECOS PAC ID: 1850716515 Enrollment ID: I20210920003204 |
| Provider Name | Douglas Vansickle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386158913 PECOS PAC ID: 2567721582 Enrollment ID: I20210924000023 |
| Provider Name | Amy Pelfrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609277151 PECOS PAC ID: 2860877842 Enrollment ID: I20220912001015 |
| Provider Name | Breanna Nicole Lilly |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659024347 PECOS PAC ID: 7416332127 Enrollment ID: I20220916000786 |
| Provider Name | Victoria Ann Flynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942831748 PECOS PAC ID: 0941671499 Enrollment ID: I20230120001983 |
| Provider Name | Jennifer Glorioso |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326698861 PECOS PAC ID: 7618309006 Enrollment ID: I20230216001204 |
| Provider Name | Rebecca Wiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750930293 PECOS PAC ID: 3173957172 Enrollment ID: I20230313001549 |
| Provider Name | Brittany Beard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619682408 PECOS PAC ID: 7113391145 Enrollment ID: I20230314003019 |
| Provider Name | Megan Rion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699471052 PECOS PAC ID: 5193199131 Enrollment ID: I20230315000298 |
| Provider Name | Pamela S Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740735273 PECOS PAC ID: 8325399207 Enrollment ID: I20230614001974 |
| Provider Name | Billirt Ambe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790049419 PECOS PAC ID: 1951766450 Enrollment ID: I20230629002271 |
| Provider Name | Arlene Vergara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528832276 PECOS PAC ID: 6507201126 Enrollment ID: I20240305001363 |
| Provider Name | Heidi Lucas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750548533 PECOS PAC ID: 9931545134 Enrollment ID: I20240311001476 |
| Provider Name | Victoria Harmon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609936079 PECOS PAC ID: 8921456377 Enrollment ID: I20240318000007 |
| Provider Name | Robert Cuthbert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568461218 PECOS PAC ID: 2264879188 Enrollment ID: I20240327000325 |
| Provider Name | Deborah Louise Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740614692 PECOS PAC ID: 6800236266 Enrollment ID: I20240502000134 |
| Provider Name | Jennifer Renee Burnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396263778 PECOS PAC ID: 6608132360 Enrollment ID: I20240523003953 |
| Provider Name | Stephanie Mcmillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275387623 PECOS PAC ID: 4880036334 Enrollment ID: I20240529002497 |
| Provider Name | Melinda Headley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518637602 PECOS PAC ID: 3173919453 Enrollment ID: I20240613002862 |
| Provider Name | Gnima Diaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184472318 PECOS PAC ID: 5193263788 Enrollment ID: I20240814001094 |
| Provider Name | Cassie Ann Mcnamee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083457766 PECOS PAC ID: 2062952260 Enrollment ID: I20240913000986 |
| Provider Name | Jana Brannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669832754 PECOS PAC ID: 4789940958 Enrollment ID: I20241017004384 |
| Provider Name | Michelle Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316119365 PECOS PAC ID: 3072670017 Enrollment ID: I20241018000891 |
| Provider Name | Thomas Krochalis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912371717 PECOS PAC ID: 5991078982 Enrollment ID: I20250113001556 |
| Provider Name | Shafwan Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811579766 PECOS PAC ID: 2769886464 Enrollment ID: I20250127000345 |
West Virginia University Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2010 Doctor Oates Dr Ste 103, Martinsburg, WV 25401 Phone: 304-596-5142 Fax: 304-596-5143 | |
Family Medicine Of Martinsburg, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 651 Foxcroft Ave, Suite 110, Martinsburg, WV 25401 Phone: 304-264-3660 Fax: 304-264-3665 | |
East Mountain Health Physicians, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Marcley Dr, Martinsburg, WV 25401 Phone: 304-263-8911 | |
Panhandle Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Aikens Ctr, Martinsburg, WV 25404 Phone: 304-264-2290 Fax: 304-264-2295 | |
Wexford Health Solutions Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 94 Grapevine Rd, Martinsburg, WV 25405 Phone: 630-730-0302 | |
West Virginia University Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 61 Campus Dr Ste 106, Martinsburg, WV 25404 Phone: 304-274-2273 Fax: 304-596-5170 |