Charles H Jacques (NPI# 1073577524, PAC ID# 7517853773) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1073577524 |
| PAC ID by PECOS | 7517853773 |
| Professional Enrollment ID | I20040224001312 |
| Full Name | Charles H Jacques |
| Organization Legal Name | CABIN CREEK HEALTH CENTER INC |
| Address |
1 Warrior Way Suite 103 Belle WV 25015-1356 |
| Phone Number | 3049493591 |
| Gender | M |
| Credential | MD |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 2466431101 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510022 | CHARLESTON AREA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1 Warrior Way, Suite 103, Belle, WV 25015-1356 | 3049493591 | CABIN CREEK HEALTH CENTER INC |
| 5722 Cabin Creek Rd, Dawes, WV 25054-7700 | 3045955006 | CABIN CREEK HEALTH CENTER INC |
| Organization Legal Name | CABIN CREEK HEALTH CENTER INC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Isaac V Ashley | Family Medicine | Cabin Creek Health Center Inc | 6135 Sissonville Dr, Charleston, WV 25312-9444 |
| Grace Falbo | Family Medicine | Cabin Creek Health Center Inc | 4602 Maccorkle Ave Se, Charleston, WV 25304-1848 |
| Michael Patrick Bates | Physical Therapy | Cabin Creek Health Center Inc | 5722 Cabin Creek Rd, Dawes, WV 25054-7700 |
| Ryan Gregory Morrison | Internal Medicine | Cabin Creek Health Center Inc | 107 Koontz Ave, Suite 200, Clendenin, WV 25045-9581 |
| Jessica M Mccolley | Family Medicine | Cabin Creek Health Center Inc | 1 Warrior Way, Suite 103, Belle, WV 25015-1356 |
| Sue A Westfall | Family Medicine | Cabin Creek Health Center Inc | 5722 Cabin Creek Rd, Dawes, WV 25054-7700 |
| Letitia Tierney | Internal Medicine | Cabin Creek Health Center Inc | 1 Warrior Way, Suite 103, Belle, WV 25015-1356 |
| Elizabeth A Mcclellan | Psychiatry | Cabin Creek Health Center Inc | 4602 Maccorkle Ave Se, Charleston, WV 25304-1848 |
| Michael R Brumage | Internal Medicine | Cabin Creek Health Center Inc | 4602 Maccorkle Ave Se, Charleston, WV 25304-1848 |
| Nafiseh F Woodard | Family Medicine | Cabin Creek Health Center Inc | 6135 Sissonville Dr, Charleston, WV 25312-9444 |
| Street Address |
1 WARRIOR WAY SUITE 103 |
| City | BELLE |
| State | WV |
| Zip | 25015-1356 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica M Mccolley | Family Medicine | Cabin Creek Health Center Inc | 1 Warrior Way, Suite 103, Belle, WV 25015-1356 |
| Letitia Tierney | Internal Medicine | Cabin Creek Health Center Inc | 1 Warrior Way, Suite 103, Belle, WV 25015-1356 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Michael Potwin | Optometry | West Virginia Eye Consultants LLC | 2700 E Dupont Ave, Suite 10, Belle, WV 25015-1842 |
| City | BELLE |
| Zip Code | 25015 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | BELLE + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Charles H Jacques.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.