MEDICARE: POINT PLEASANT PHYSICIAN BILLING SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	22650	WV
2	363L00000X	Nurse Practitioner
3	207P00000X	Emergency Medicine Physician
4	363LP2300X	Primary Care Nurse Practitioner
5	363A00000X	Physician Assistant
6	261QP1100X	Podiatric Clinic/Center
7	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	1441	WV
8	261QP2300X	Primary Care Clinic/Center
9	261QM1300X	Multi-Specialty Clinic/Center	6	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	001710496	OTHER	WV	BCBS GROUP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396798898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POINT PLEASANT PHYSICIAN BILLING SERVICES

Provider Business Mailing Address
First Line	:	2520 VALLEY DR
Second Line	:
City	:	PT PLEASANT
State	:	WV
Zip	:	25550-2031
Country	:	US
Telephone Number	:	304-675-4340
Fax Number	:	304-675-6911

Provider Business Practice Location Address
First Line	:	2520 VALLEY DR
Second Line	:
City	:	PT PLEASANT
State	:	WV
Zip	:	25550
Country	:	US
Telephone Number	:	304-675-4340
Fax Number	:	304-675-6911

Authorized Official
Title or Position	:	CREDENTIALLING SPECIALIST
Name	:	TASHA N GROVES
Credential	:
Telephone Number	:	304-675-4340

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	05/06/2026

Similar Medicare Providers

1528066511 — MASON COUNTY EMERGENCY AMBULANCE SERVICE AUTHORITY
Practice Location Address:

911 EMERGENCY DRIVE
PT PLEASANT, WV
25550-2005

Practice Phone: 304-675-6134
Practice Fax: 304-675-7433

1568455509 — PLEASANT VALLEY HOSPITAL
Practice Location Address:

1011 VIAND ST
PT PLEASANT, WV
25550-1242

Practice Phone: 304-675-7400
Practice Fax: 304-675-7401

1073509287 — DR. DAVID C. FABER M.D., F.A.C.S.
Practice Location Address:

2520 VALLEY DR
PT PLEASANT, WV
25550-2031

Practice Phone: 304-675-4340
Practice Fax:

1255386322 — MICHAEL W CORBIN M.D.
Practice Location Address:

2520 VALLEY DR , SUITE 215
PT PLEASANT, WV
25550-2031

Practice Phone: 304-675-2229
Practice Fax: 304-675-5068

1134174212 — STEPHEN KARL RERYCH MD
Practice Location Address:

2520 VALLEY DR
PT PLEASANT, WV
25550-2031

Practice Phone: 304-675-1666
Practice Fax: 304-675-2944

1841227790 — NANCY BETH LARES MD
Practice Location Address:

2414 JEFFERSON AVE
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25550-1528

Practice Phone: 304-675-1484
Practice Fax: 304-675-1489

Directions to “POINT PLEASANT PHYSICIAN BILLING SERVICES ” Practice Location

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