Daniel Bruce Thistlethwaite, MD | |
312 6th Ave Ste 2, South Charleston, WV 25303-1265 | |
(304) 768-6170 | |
(304) 768-2099 |
Full Name | Daniel Bruce Thistlethwaite |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 37 Years |
Location | 312 6th Ave Ste 2, South Charleston, West Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518083328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 15674 (West Virginia) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD469141 (Pennsylvania) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Charleston Area Medical Center | Charleston, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Psycare Inc | 1759310998 | 11 |
West Virginia Health Right Inc. | 2163652983 | 8 |
Psycare Inc | 1759310998 | 11 |
Entity Name | Psycare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144433459 PECOS PAC ID: 1759310998 Enrollment ID: O20050809000206 |
Entity Name | West Virginia Health Right Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124453964 PECOS PAC ID: 2163652983 Enrollment ID: O20140224000121 |
Mailing Address | Practice Location Address |
---|---|
Daniel Bruce Thistlethwaite, MD 312 6th Ave Ste 2, South Charleston, WV 25303-1265 Ph: (304) 768-6170 | Daniel Bruce Thistlethwaite, MD 312 6th Ave Ste 2, South Charleston, WV 25303-1265 Ph: (304) 768-6170 |
Elma Zapanta Bernardo, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 401 Division St Ste 203, South Charleston, WV 25309 Phone: 304-766-3470 Fax: 304-766-3494 | |
Dr. Tara Fawn Ray, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 400 Division St, Suite 3, South Charleston, WV 25309 Phone: 304-767-7960 Fax: 304-767-7969 | |
John Patrick Hutton, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 218 D St, South Charleston, WV 25303 Phone: 304-720-3835 Fax: 866-931-8591 | |
Russell Irvin Voltin, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 312 6th Ave Ste 2, South Charleston, WV 25303 Phone: 304-768-6170 Fax: 304-768-2099 | |
Rita Gandhy, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 500 Poplar Street, Ste 202, South Charleston, WV 25309 Phone: 304-342-3891 Fax: 304-342-5307 | |
Amy Nickole Wehrle, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 312 6th Ave Ste 2, South Charleston, WV 25303 Phone: 304-768-6170 Fax: 304-768-2099 |