Christy L Lucas, PA-C
Individual provider Active NPI Physician Assistant · West Milford, WV
NPI 1346323136 · NPPES record last updated Aug 31, 2022
Key facts
- NPI
- 1346323136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 661 (WV)
- Practice address
- 597 Liberty St
West Milford, WV 26451-6801 - Phone
- (304) 745-4568
- Fax
- (304) 326-3700
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 57
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Care of West Virginia, Inc.
Practice addresses (Care Compare)
597 Liberty St
West Milford, WV 26451-6801
Phone (304) 745-4568
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 |
|---|---|---|---|---|
| I20051017000119 | WV | Practitioner - Physician Assistant | 4688690969 | Reassigns benefits to 26 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01085 | WV | MD | Medical Physician Assistant |
Practice roles
Locations (25 of 27)
65 Professional Pl
Ste 103
Bridgeport, WV 26330
Phone (304) 848-5770
77 W Main St
Buckhannon, WV 26201
Phone (304) 473-1440
50 Bu Dr
Buckhannon, WV 26201
Phone (304) 472-8333
16 College Ave
Buckhannon, WV 26201
Phone (304) 472-3310
4 Northridge Dr
Ste 118
Buckhannon, WV 26201
Phone (304) 473-1440
33 W Main St
Buckhannon, WV 26201
700 Oakmound Rd
Clarksburg, WV 26301
Phone (304) 623-1330
443 Lee Ave
Clarksburg, WV 26301
Phone (304) 326-7420
1 Eagle Way
#C
Clarksburg, WV 26301
59 Ossia Rd
Duck, WV 25063
Phone (304) 286-2838
271 Warrior Way
Dunmore, WV 24934
Phone (304) 799-0515
113 5th St
Gassaway, WV 26624
Phone (304) 364-5867
4498 Potomac Highlands Trl
Green Bank, WV 24944
Phone (304) 456-5115
797 Clinic Dr
Ivydale, WV 25113
Phone (304) 286-4200
821 3rd Ave
Marlinton, WV 24954
Phone (304) 799-4404
926 5th Ave
Ste A
Marlinton, WV 24954
Phone (304) 799-4916
1302 Buckhannon Pike
Nutter Fort, WV 26301
Phone (304) 326-7501
78 Queens Alley Rd
Rock Cave, WV 26234
200 Tetrick Rd
Shinnston, WV 26431
Phone (304) 326-7280
78 Jerry Toth Dr
Shinnston, WV 26431
Phone (304) 592-5022
100 Carter Braxton Dr
Sutton, WV 26601
Phone (304) 765-2644
200 Jerry Burton Dr
Sutton, WV 26601
Phone (304) 765-7331
266 Skidmore Ln
Sutton, WV 26601
Phone (304) 765-0351
235 Skidmore Ln
Sutton, WV 26601
Phone (304) 765-4400
182 School St
West Milford, WV 26451
Phone (304) 745-5739
Interoperability endpoints
- christy.gain.1@4803.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 01085 | WV | |
| Physician Assistant | 363A00000X | 661 | WV | Yes |
Addresses
Primary practice location
597 Liberty St
West Milford, WV 26451-6801
Mailing address
597 Liberty St
West Milford, WV 26451-6801
Phone (304) 745-4568
Other practice location 1
700 Oakmound Rd
Clarksburg, WV 26301-9398
Phone (304) 623-6330
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00466815 | Other | WV | RAILROAD MEDICARE |
| 3810010826 | Medicaid | WV |
Other names
- Christy L Gain
Other providers in West Milford, WV
- Melissa S Dodrill
- Matya Drennen
- Kelly W Dunavant
- Chris N Kennedy
- Jason S. Kidd
- Deana Mae Morrison Fernandez
- Christina L Nolte
- Lori Romeo
- Stephanie Marie Smith
- Candis M Toothman
All providers in West Milford, 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 Aug 31, 2022. 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.