West Virginia Foot & Ankle, Pllc | |
100 Tracy Way Charleston WV 25311-1257 | |
(304) 343-4583 | |
(304) 343-1381 |
Full Name | West Virginia Foot & Ankle, Pllc |
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Speciality | Clinic/Center |
Location | 100 Tracy Way, Charleston, West Virginia |
Authorized Official Name and Position | Carrie Frame (PHYSICIAN) |
Authorized Official Contact | 3043434583 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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West Virginia Foot & Ankle, Pllc 406 Quarry Pt Charleston WV 25304-1056 Ph: (304) 951-7571 | West Virginia Foot & Ankle, Pllc 100 Tracy Way Charleston WV 25311-1257 Ph: (304) 343-4583 |
NPI Number | 1245923663 |
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Provider Enumeration Date | 05/31/2023 |
Last Update Date | 05/31/2023 |
Medicare PECOS PAC ID | 0042671661 |
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Medicare Enrollment ID | O20230731000219 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245923663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Carrie P Frame |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1992904270 PECOS PAC ID: 5698968964 Enrollment ID: I20101019000739 |
Provider Name | Molly Beth White |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912483447 PECOS PAC ID: 3577809839 Enrollment ID: I20190108003104 |
Provider Name | Bradley Henry Hoffman |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1093166076 PECOS PAC ID: 2668713660 Enrollment ID: I20190401000107 |
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