Active NPI
Laura E Potesta, PAC
- Medical Physician Assistant
- Bridgeport, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 01698
- Practice address
- 135 Professional PL
Bridgeport, WV 26330-4509 - Phone
- (681) 342-3660
- Fax
- (681) 342-3698
- NPI assigned
- Mar 13, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA07575 | TX | |
| Medical Physician Assistant | 363AM0700X | 01698 | WV | Primary |
Addresses
Primary practice location
135 Professional PL
Bridgeport, WV 26330-4509
Mailing address
135 Professional PL
Bridgeport, WV 26330-4509
Phone (681) 342-3660
Other names 1
- Laura Corathers
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
120 Medical Park Dr
Suite 100
Bridgeport, WV 26330-9013
Phone (681) 342-3490
135 Professional PL
Bridgeport, WV 26330-4509
Phone (681) 342-3660
327 Medical Park Dr
Bridgeport, WV 26330-9006
Phone (681) 342-1842
916 W Main St
Bridgeport, WV 26330-1651
Phone (304) 842-1034
Hospital & facility affiliations
- Wvuhs Home Care
- United Hospital Center, Inc
- St Joseph's Hospital of Buckhannon, Inc
- West Virginia University Hospitals, Inc
- Summersville Regional Medical Center
- Braxton County Memorial Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1698 | WV | MD | Mental Health Counselor |
| PA07575 | TX | MD | Physician Assistant |
| 01698 | WV | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Hospital Center, Inc. | Current | Accepting new patients |
Locations
327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000
527 Medical Park Dr
Ste 202
Bridgeport, WV 26330
Phone (304) 933-3850
135 Professional Pl
Bridgeport, WV 26330
Phone (681) 342-3595
916 W Main St
Bridgeport, WV 26330
Phone (304) 842-1034
2673 Davisson Run Rd
Ste 303
Clarksburg, WV 26301
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Bridgeport, WV
- NPI 1760965586
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Gassaway, WV
- NPI 1356304547
-
- Critical Access Hospital
- Buckhannon, WV
- NPI 1124005061
-
- General Acute Care Hospital
- Bridgeport, WV
- NPI 1184606600
-
dba Summersville Regional Medical Center
- Critical Access Hospital
- Summersville, WV
- NPI 1043778319
-
dba SRMC Medical Group
- Hospitalist Physician
- Summersville, WV
- NPI 1417415324
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1558636274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 PROFESSIONAL PL",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263304509",
"telephone_number": "681-342-3660",
"fax_number": "681-342-3698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 PROFESSIONAL PL",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263304509",
"telephone_number": "681-342-3660",
"fax_number": "681-342-3698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTESTA",
"first_name": "LAURA",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA07575",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WV",
"license": "01698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "CORATHERS",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.