| Ms Ashley M Blanc, MA | |
|
606 Washington St, Ravenswood, WV 26164 | |
| (304) 273-1033 | |
| (304) 273-1034 |
| Full Name | Ms Ashley M Blanc |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 13 Years |
| Location | 606 Washington St, Ravenswood, West Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356793095 | NPI | - | NPPES |
| 1356793095 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1241 (West Virginia) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1241 (West Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wirt County Health Services Association, Inc | 7810806577 | 31 |
| Entity Name | Wirt County Health Services Association, Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1043401730 PECOS PAC ID: 7810806577 Enrollment ID: O20080602000050 |
| Entity Name | Wirt County Health Services Association, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760733984 PECOS PAC ID: 7810806577 Enrollment ID: O20140317001851 |
| Entity Name | Wirt County Health Services Association, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265615728 PECOS PAC ID: 7810806577 Enrollment ID: O20140729001132 |
| Entity Name | Wirt County Health Services Association, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548777527 PECOS PAC ID: 7810806577 Enrollment ID: O20191021002731 |
| Entity Name | Wirt County Health Services Association, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750868675 PECOS PAC ID: 7810806577 Enrollment ID: O20210712001019 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Ashley M Blanc, MA Po Box 609, Elizabeth, WV 26143-0609 Ph: (304) 275-3301 | Ms Ashley M Blanc, MA 606 Washington St, Ravenswood, WV 26164 Ph: (304) 273-1033 |