Andyara Euzebio Passos, PA-C - Medicare Physician Assistant in Ronceverte, WV

Andyara Euzebio Passos, PA-C is a medicare enrolled "Physician Assistant" in Ronceverte, West Virginia. Her current practice location is 1320 Maplewood Ave, Ronceverte, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 647-4411.

Andyara Euzebio Passos is licensed to practice in West Virginia (license number 2742) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194419994.

Contact Information

Andyara Euzebio Passos, PA-C
1320 Maplewood Ave,
Ronceverte, WV 24970-8016
(304) 647-4411
Not Available



Provider's Profile

Full NameAndyara Euzebio Passos
GenderFemale
SpecialityPhysician Assistant
Location1320 Maplewood Ave, Ronceverte, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194419994
  • Provider Enumeration Date: 06/05/2023
  • Last Update Date: 04/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9234593229
  • Enrollment ID: I20230908002503

Medical Identifiers

Medical identifiers for Andyara Euzebio Passos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194419994NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 2742 (West Virginia)Secondary
363A00000XPhysician Assistant 2742 (West Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andyara Euzebio Passos is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Andyara Euzebio Passos, PA-C
400 Association Dr Ste 102,
Charleston, WV 25311-1298

Ph: (304) 388-1724
Andyara Euzebio Passos, PA-C
1320 Maplewood Ave,
Ronceverte, WV 24970-8016

Ph: (304) 647-4411

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Physician Assistant Nurses in Ronceverte, WV

Paul T Vaughn, PAC
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 119 Maplewood Ave, Ronceverte, WV 24970
Phone: 304-647-5642    Fax: 304-647-5644
Mr. Joseph Lutz, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 200 Maplewood Ave, Ronceverte, WV 24970
Phone: 304-647-1148    Fax: 304-793-2208
Mary Katherine Bowling, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 103 Davis Stuart Rd, Ronceverte, WV 24970
Phone: 304-645-7546    Fax: 304-645-7547
Ms. Dana Renick, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 200 Maplewood Ave, Ronceverte, WV 24970
Phone: 304-647-1161    Fax: 304-647-3006
Mr. George Burton Bryant Jr., PAC
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 122 Maplewood Ave, Ronceverte, WV 24970
Phone: 304-645-7227    
Kimberly D Pierson, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 103 Davis Stuart Road, Ronceverte, WV 24970
Phone: 304-645-7546    Fax: 304-645-7547

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