Brian Riedel, MD | |
1 Medical Center Dr, Poc Pediatric Clinic, Morgantown, WV 26506 | |
(304) 293-1017 | |
(304) 293-4337 |
Full Name | Brian Riedel |
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Gender | Male |
Speciality | Pediatrics - Pediatric Gastroenterology |
Location | 1 Medical Center Dr, Morgantown, 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 |
---|---|---|---|
1174615587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0206X | Pediatrics - Pediatric Gastroenterology | 23973 (West Virginia) | Primary |
Entity Name | West Virginia University Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
Mailing Address | Practice Location Address |
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Brian Riedel, MD 1 Medical Center Dr, Po Box 9214, Morgantown, WV 26506-9214 Ph: (304) 293-1017 | Brian Riedel, MD 1 Medical Center Dr, Poc Pediatric Clinic, Morgantown, WV 26506 Ph: (304) 293-1017 |
Dr. Kathryn S Moffett, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Stadium Drive, Morgantown, WV 26506 Phone: 304-598-4800 Fax: 304-598-6061 | |
Rupesh Kumar Natarajan, Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-293-4451 | |
Dr. Melissa Albert, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1000 Mon Health Medical Park Dr Ste 1202, Morgantown, WV 26505 Phone: 304-599-1975 Fax: 304-599-2705 | |
Dr. Panitan Yossuck, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Stadium Drive, Morgantown, WV 26506 Phone: 304-598-4800 Fax: 304-293-6963 | |
Audra Suzanne Rouster, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, 9214, Morgantown, WV 26506 Phone: 304-293-1017 | |
Martin Edward Weisse, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4800 | |
Dr. Shipra Gupta, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4800 |