Brian Christopher Policano, MD | |
7 Chenoweth Dr, Suite A, Bridgeport, WV 26330-1887 | |
(304) 842-5777 | |
(304) 842-3318 |
Full Name | Brian Christopher Policano |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 7 Chenoweth Dr, Bridgeport, 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 |
---|---|---|---|
1366459299 | NPI | - | NPPES |
01720854 | Other | WV | BC/BS |
3004243000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | WV21260 (West Virginia) | Primary |
Entity Name | United Physicians Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891863874 PECOS PAC ID: 6103814017 Enrollment ID: O20040706001382 |
Mailing Address | Practice Location Address |
---|---|
Brian Christopher Policano, MD Po Box 763, Morgantown, WV 26507-0763 Ph: (800) 541-4009 | Brian Christopher Policano, MD 7 Chenoweth Dr, Suite A, Bridgeport, WV 26330-1887 Ph: (304) 842-5777 |
Jennifer Jill Momen, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11 Chenoweth Drive, Suite A, Bridgeport, WV 26330 Phone: 303-842-5777 Fax: 304-842-3318 | |
Joseph Momen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7 Chenoweth Dr, Suite A, Bridgeport, WV 26330 Phone: 304-842-5777 Fax: 304-842-3318 | |
Dr. Kristen Nicole Moore, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 710 Genesis Blvd, Bridgeport, WV 26330 Phone: 304-808-6065 Fax: 304-808-6067 | |
Mrs. Karyn Lynette Molinari-fryer, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 139 Conference Center Way, Suite 113, Bridgeport, WV 26330 Phone: 304-599-8000 Fax: 304-599-8003 | |
Dr. Bradley D. Mitchell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 139 Conference Center Way Ste 113, Bridgeport, WV 26330 Phone: 304-599-8000 Fax: 304-599-8003 | |
Dr. Janet E. Cogar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 900 Lodgeville Rd, Bridgeport, WV 26330 Phone: 304-842-3311 Fax: 304-842-3313 |