Andrea Marie Hoekje, PA-C
Individual provider Active NPI Physician Assistant · Blacksville, WV
NPI 1164660965 · NPPES record last updated Dec 15, 2014
Key facts
- NPI
- 1164660965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 01463 (WV)
- Practice address
- 5861 Mason Dixon Highway
Blacksville, WV 26521 - Phone
- (304) 432-8211
- Fax
- (304) 432-8213
- NPI assigned
- Feb 2, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clay-Battelle Health Services Association
Practice addresses (Care Compare)
1855 Hornet Hwy
Burton, WV 26562-7430
Phone (304) 775-4671
PO Box
Suite 72
Blacksville, WV 26521
Hospital & facility affiliations
- Care Partners Home Health
- West Virginia University Hospitals, Inc
- Wetzel County Hospital
- Mon Health Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100802000295 | WV | Practitioner - Physician Assistant | 3274666946 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01463 | VA | MD | Physician Assistant |
| 01463 | WV | MD | Physician Assistant |
| MA053785 | PA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clay-Battelle Health Services Association | Current |
Accepting new patients | |
| Clay-Battelle Health Services Association | Current |
Accepting new patients | |
| Clay-Battelle Health Services Association | Past | Accepting new patients |
Locations
1855 Hornet Hwy
Burton, WV 26562
Phone (304) 775-4671
Interoperability endpoints
- andrea.hoekje.1@12946.direct.athenahealth.com
- https://api.platform.athenahealth.com/12946/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | MA053785 | PA | |
| Physician Assistant | 363A00000X | 01463 | VA | |
| Physician Assistant | 363A00000X | 01463 | WV | Yes |
Addresses
Primary practice location
5861 Mason Dixon Highway
Blacksville, WV 26521
Mailing address
PO Box 72
5861 Mason Dixon Highway
Blacksville, WV 26521
Phone (304) 432-8211
Other names
- Andrea Marie Tardivo
Other providers in Blacksville, WV
- Community Care of West Virginia Inc
- Megan Moore Curry
- Seneca Abbie Field
- Wade Vincent Harvey
- Tara Hilleary
- Mark A. Hose
- Jodie Howell
- William Reeves Minor
- Breanna Orrahood
- Louis Ortenzio Jr.
All providers in Blacksville, WV · Physician Assistant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.