Curtis Brent Pack, DO is a
Family Medicine physician based in Eleanor, West Virginia. Curtis Brent Pack is licensed to practice in West Virginia (license number 1450) and his current practice location is 503 Roosevelt Blvd, Eleanor, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 586-0001.
NPI number for Curtis Brent Pack is 1013016849 and his current mailing address is 97 Great Teays Blvd Ste 6, Scott Depot, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013016849.
Physician's Profile
| Full Name | Curtis Brent Pack |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 503 Roosevelt Blvd, Eleanor, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1013016849
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 10/15/2019
Medical Identifiers
Medical identifiers for Curtis Brent Pack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013016849 | NPI | - | NPPES |
| 550737600 | Other | WV | COMMERICAL INSURANCE |
| 001721667 | Other | WV | BCBS |
| 550737600 | Other | WA | AETNA |
| 0245176 | Medicaid | OH | |
| 0046893000 | Medicaid | WV | |
| 385750 | Other | WV | FEDERAL BLACK LUNG |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 1450 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Curtis Brent Pack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Curtis Brent Pack, DO
97 Great Teays Blvd Ste 6,
Scott Depot, WV 25560-9816
Ph: (304) 757-6999 | Curtis Brent Pack, DO
503 Roosevelt Blvd,
Eleanor, WV 25070
Ph: (304) 586-0001 |
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