Brandon August Cestaric, DO | |
512a South Church Street, Ripley, WV 25271-1616 | |
(304) 372-1033 | |
(304) 373-0223 |
Full Name | Brandon August Cestaric |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 512a South Church Street, Ripley, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093783060 | NPI | - | NPPES |
1842022000 | Medicaid | WV | |
P00403709 | Other | RAILROAD MEDICARE | |
3810010399 | Medicaid | WV | |
2601590 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34.015445 (Ohio) | Secondary |
207Q00000X | Family Medicine | 1905 (West Virginia) | Primary |
Entity Name | Wetzel County Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699728337 PECOS PAC ID: 4688575319 Enrollment ID: O20040211000243 |
Entity Name | Wetzel County Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518590033 PECOS PAC ID: 4284065400 Enrollment ID: O20200520000593 |
Mailing Address | Practice Location Address |
---|---|
Brandon August Cestaric, DO Po Box 609, Elizabeth, WV 26143-0609 Ph: (304) 275-3301 | Brandon August Cestaric, DO 512a South Church Street, Ripley, WV 25271-1616 Ph: (304) 372-1033 |
Dr. Andria M. Allen, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 South Church Street, Suite 3, Ripley, WV 25271 Phone: 681-661-0123 | |
Craig Swann, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 122 Pinnell St, Ripley, WV 25271 Phone: 304-372-3506 | |
Timothy P Metzger, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 512a Church St S, Ripley, WV 25271 Phone: 304-372-1033 Fax: 304-373-0223 |