Active NPI
Jeremy J. Reneau, PA
- Physician Assistant
- Buckhannon, WV
National Provider Identifier
1013191931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 01325
- Practice address
- 1 Amalia Dr
Buckhannon, WV 26201-2239 - Phone
- (304) 473-2000
- NPI assigned
- Dec 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 01325 | WV | Primary |
Addresses
Primary practice location
1 Amalia Dr
Buckhannon, WV 26201-2239
Mailing address
PO Box 9149
Suite 100
Morgantown, WV 26506-9149
Phone (304) 293-7095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wvu Medical Corporation | Physician Assistant | Current | Accepting new patients |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| St Josephs Hospital of Buckhannon Inc | Current | Accepting new patients |
Locations
1 Amalia Dr
Buckhannon, WV 26201
Phone (304) 473-2000
812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Buckhannon, WV
- NPI 1124005061
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450396800000",
"number": "1013191931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9149",
"address_2": "SUITE 100",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265069149",
"telephone_number": "304-293-7095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 AMALIA DR",
"city": "BUCKHANNON",
"state": "WV",
"postal_code": "262012239",
"telephone_number": "304-473-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENEAU",
"first_name": "JEREMY",
"middle_name": "J.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-27",
"last_updated": "2015-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "01325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buckhannon, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.