Rachelle Lyle Stewart, PA-C
Individual provider Active NPI Medical Physician Assistant · Hinton, WV
NPI 1891197323 · NPPES record last updated Sep 16, 2014
Key facts
- NPI
- 1891197323
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 01842 (WV)
- Practice address
- 1500 Terrace St Ste 105
Hinton, WV 25951-9768 - Phone
- (304) 466-2933
- NPI assigned
- Sep 16, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
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 |
|---|---|---|---|---|
| I20150921000957 | WV | Practitioner - Physician Assistant | 9638486889 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01842 | WV | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Healthcare Associates Inc | Current | Accepting new patients | |
| Family Healthcare Associates Inc | Current | Accepting new patients | |
| Logan General Hospital LLC | Current |
Accepting new patients | |
| Family Healthcare Associates Inc | Current |
Accepting new patients | |
| Appalachia Pathology Consultants LLC | Current | Accepting new patients | |
| Family Healthcare Associates Inc | Current | Accepting new patients |
Locations
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101
114 Main St
Man, WV 25635
Phone (304) 583-0019
205 Howard Ave
Mullens, WV 25882
Phone (304) 294-4880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 01842 | WV | Yes |
Addresses
Primary practice location
1500 Terrace St Ste 105
Hinton, WV 25951-9768
Mailing address
142 Peters Court
Cool Ridge, WV 25825
Phone (304) 923-4409
Other providers in Hinton, WV
- Patricia Ann Smith
- Vanessia Smith
- Stanley T. Day
- Carolyn Kay Stephens
- Dylan Michael Stewart
- Autumn Stickler
- Delphine Stinson
- Summers County Board of Health
- Summers County Board of Health
- Summers County Commission
All providers in Hinton, WV · Medical 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 Sep 16, 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.