Healthpath Medical & Psychiatric Care LLC
A Medicare group practice based in Charleston, WV: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3870030026), with 7 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3870030026
- Also listed as
- Healthpath Medical and Psychiatric Care LLC
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- WV
- Enrollments
- 1
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 1
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20240806000207 | WV | Part B Supplier - Clinic/Group Practice | 1609645670 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Healthpath Medical & Psychiatric Care LLC
- Psychiatric/Mental Health Nurse Practitioner
- Charleston, WV
- NPI 1609645670
-
Healthpath Medical & Psychiatric Care LLC
dba HealthPath Medical & Behavioral Health Services
- Community/Behavioral Health Agency
- Charleston, WV
- NPI 1699571372
Practice locations
- Charleston, WV1
Clinicians 7
Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (3).
-
Loretta Ann Bostic, CRNA, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Charleston, WV
- NPI 1629068705
-
Kiran Shashi Devaraj, MD
- Psychiatry Physician
- Charleston, WV
- NPI 1003878984
-
Marilyn Knoll Glaser, MD
- Family Medicine Physician
- White Sulphur Springs, WV
- NPI 1669459616
-
Sarah Marie Mahajan, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Charleston, WV
- NPI 1497373658
-
Laure Marino, CFNP
- Family Nurse Practitioner
- Scott Depot, WV
- NPI 1568435972
-
Kelly Lynne Matherly, APRN, FNP-BC
- Family Nurse Practitioner
- Beckley, WV
- NPI 1164822987
-
Kristen Sisler, FNP
- Psychiatric/Mental Health Nurse Practitioner
- Beckley, WV
- NPI 1386289320
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.