Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bernadette Luby, PA-C

Individual provider Physician Assistant · NPI 1982390282

Bernadette Luby, PA-C is a Physician Assistant in Charleston, West Virginia. Qualified in 2023, 3 years ago. Practices with Cabin Creek Health Center Inc, a 45-clinician group and accepts Medicare assignment. Licensed in Florida and West Virginia.

Years since qualifying
3
Licensed in
FL, WV
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4602 Maccorkle Ave SE
Charleston, WV 25304-1848
Phone: (304) 205-7535
Fax: (304) 205-7549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 870 (WV)
Physician Assistant Taxonomy 363A00000X · Licence 9117743 (FL)

Record details

NPI number1982390282
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 11, 2023
Last updated in NPPESSeptember 7, 2023
Certification dateSeptember 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Cabin Creek Health Center Inc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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