Vivian Jean Carr, PA-C - Physician Assistant in Camden On Gauley, WV

Vivian Jean Carr, PA-C is a Physician Assistant based in Camden On Gauley, West Virginia. Vivian Jean Carr is licensed to practice in West Virginia (license number 01039) and her current practice location is 10003 Webster Rd, Camden On Gauley, West Virginia. She can be reached at her office (for appointments etc.) via phone at (304) 226-5725.

NPI number for Vivian Jean Carr is 1093900714 and her current mailing address is Po Box 69, Camden On Gauley, West Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093900714.

Contact Information

Vivian Jean Carr, PA-C
10003 Webster Rd,
Camden On Gauley, WV 26208-0069
(304) 226-5725
(304) 226-3274



Provider's Profile

Full NameVivian Jean Carr
GenderFemale
SpecialityPhysician Assistant
Location10003 Webster Rd, Camden On Gauley, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093900714
  • Provider Enumeration Date: 09/06/2007
  • Last Update Date: 01/21/2009

Medical Identifiers

Medical identifiers for Vivian Jean Carr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093900714NPI-NPPES
0035222000MedicaidWV
01039OtherWVWV BOARD OF MEDICINE
406OtherWVWV BOARD OF OSTEOPATHY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 01039 (West Virginia)Primary
363A00000XPhysician Assistant 406 (West Virginia)Secondary

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. Vivian Jean Carr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Vivian Jean Carr, PA-C
Po Box 69,
Camden On Gauley, WV 26208-0069

Ph: (304) 226-5725
Vivian Jean Carr, PA-C
10003 Webster Rd,
Camden On Gauley, WV 26208-0069

Ph: (304) 226-5725

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Physician Assistant Nurses in Camden On Gauley, WV

Anna Katherine Bobbitt, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 10003 Webster Rd, Camden On Gauley, WV 26208
Phone: 304-226-5725    

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