Mary C Gainer (NPI# 1932307063, PAC ID# 8527251990) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1932307063 |
| PAC ID by PECOS | 8527251990 |
| Professional Enrollment ID | I20101018000713 |
| Full Name | Mary C Gainer |
| Organization Legal Name | PRESTON-TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED |
| Address |
2060 N Mountaineer Hwy Newburg WV 26410-0159 |
| Phone Number | 3048922812 |
| Gender | F |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 3072406438 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 511312 | PRESTON MEMORIAL HOSPITAL |
| 510001 | WEST VIRGINIA UNIVERSITY HOSPITALS |
| 511307 | GRAFTON CITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2060 N Mountaineer Hwy, Newburg, WV 26410-0159 | 3048922812 | PRESTON-TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED |
| Organization Legal Name | PRESTON-TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela K. Browning | Nurse Practitioner | Preston-taylor Community Health Centers, Incorporated | 30 Cortland Acres Ln, Thomas, WV 26292-8066 |
| Peter V Wentzel | Family Practice | Preston-taylor Community Health Centers, Incorporated | 725 N Pike St, Grafton, WV 26354-1270 |
| Allan Burt Kunkel | Family Practice | Preston-taylor Community Health Centers, Incorporated | 14311 George Washington Hwy, Mount Storm, WV 26739 |
| Andrew Miles Foy | Family Practice | Preston-taylor Community Health Centers, Incorporated | 2604 Grange Hall Rd, Eglon, WV 26716-8774 |
| Edwin L. Rader | Family Practice | Preston-taylor Community Health Centers, Incorporated | 30 Cortland Acres Ln, Thomas, WV 26292-8066 |
| Street Address |
2060 N MOUNTAINEER HWY |
| City | NEWBURG |
| State | WV |
| Zip | 26410-0159 |
| City | NEWBURG |
| Zip Code | 26410 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | NEWBURG + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Mary C Gainer.
| 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.