Kiesha Marie Bullough, PA-C - Medicare Physician Assistant in Clarksburg, WV

Kiesha Marie Bullough, PA-C is a medicare enrolled "Physician Assistant" in Clarksburg, West Virginia. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice West Virginia University Medical Corporation and her current practice location is 700 Oakmound Rd, Clarksburg, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 623-6330.

Kiesha Marie Bullough is licensed to practice in West Virginia (license number 01444) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700113412.

Contact Information

Kiesha Marie Bullough, PA-C
700 Oakmound Rd,
Clarksburg, WV 26301-9398
(304) 623-6330
(304) 623-6220



Provider's Profile

Full NameKiesha Marie Bullough
GenderFemale
SpecialityPhysician Assistant
Experience15 Years
Location700 Oakmound Rd, Clarksburg, West Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kiesha Marie Bullough graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1700113412
  • Provider Enumeration Date: 11/17/2009
  • Last Update Date: 06/17/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8527108224
  • Enrollment ID: I20091210000223

Medical Identifiers

Medical identifiers for Kiesha Marie Bullough such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700113412NPI-NPPES
3810016314MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 01444 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
West Virginia University HospitalsMorgantown, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
West Virginia University Medical Corporation10522245651613

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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. Kiesha Marie Bullough 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
Kiesha Marie Bullough, PA-C
700 Oakmound Rd,
Clarksburg, WV 26301-9398

Ph: (304) 623-6330
Kiesha Marie Bullough, PA-C
700 Oakmound Rd,
Clarksburg, WV 26301-9398

Ph: (304) 623-6330

News Archive

Prolonged ED wait time is associated with poor clinical outcomes

One in four emergency department patients in 2006 waited longer to be evaluated by a clinician than recommended at triage, an increase from one in five in 1997, according to a report in the November 9 issue of Archives of Internal Medicine, one of the JAMA/Archives journals.

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A large percentage of patients with mild-to-moderate asthma have persistently non-eosinophilic disease which may not respond to currently available anti-inflammatory treatments, according to a new study.

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Physician Assistant Nurses in Clarksburg, WV

Rebekah E Hicks, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 4 Hospital Plz, Suite 210, Clarksburg, WV 26301
Phone: 304-622-2300    Fax: 304-624-9689
Janet L Childers, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 4 Hospital Plz, Clarksburg, WV 26301
Phone: 304-624-1966    Fax: 304-293-6963
Mr. James D Mcdaniel, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 469 Emily Dr, Clarksburg, WV 26301
Phone: 304-423-5180    Fax: 304-423-5185
Mrs. Laura Jean Stavrakis, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 399 Emily Dr, Clarksburg, WV 26301
Phone: 304-624-4315    Fax: 304-624-4319
Mabel Louise Wright, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Med Center Dr, Clarksburg, WV 26301
Phone: 304-623-3461    
Amy Marie Kerns, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 469 Emily Dr, Clarksburg, WV 26301
Phone: 304-423-5180    
Leigh Ana Bird, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 399 Emily Dr, Clarksburg, WV 26301
Phone: 304-624-4315    Fax: 304-624-4319

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