Crystal A De Wit, DO | |
527 Medical Park Dr Ste 500, Bridgeport, WV 26330-9010 | |
(681) 342-3600 | |
Not Available |
Full Name | Crystal A De Wit |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 527 Medical Park Dr Ste 500, 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 |
---|---|---|---|
1114980406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 3780 (West Virginia) | Secondary |
207Q00000X | Family Medicine | 3780 (West Virginia) | Secondary |
207P00000X | Emergency Medicine | 3780 (West Virginia) | Primary |
Entity Name | Punxsutawney Area Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265449870 PECOS PAC ID: 3375517147 Enrollment ID: O20040830000460 |
Entity Name | Ohio Valley General Hospital |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1790341907 PECOS PAC ID: 8123079613 Enrollment ID: O20190710002607 |
Mailing Address | Practice Location Address |
---|---|
Crystal A De Wit, DO 12 Ashbury Ln, Fairmont, WV 26554-3473 Ph: (412) 303-0494 | Crystal A De Wit, DO 527 Medical Park Dr Ste 500, Bridgeport, WV 26330-9010 Ph: (681) 342-3600 |
Dr. Joshua Israel Tost, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1000 | |
Harry Marinakis, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 49 E Wexford Way, Bridgeport, WV 26330 Phone: 304-669-6720 | |
Dr. Dale Mcmillion, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 304-293-2436 | |
Dr. Stuart Patterson Godwin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 304-293-2436 Fax: 304-285-7126 | |
Dr. Robert Lehki, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1000 | |
Jessica Neidhardt, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1000 | |
Dr. Timothy M Peasak, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1370 Johnson Ave, 1st Floor, Bridgeport, WV 26330 Phone: 304-842-3330 Fax: 304-842-3303 |