Daryl Michael Larusso, MD | |
2500 Hospital Drive, Martinsburg, WV 25401 | |
(304) 264-1000 | |
(304) 264-1374 |
Full Name | Daryl Michael Larusso |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 2500 Hospital Drive, Martinsburg, 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 |
---|---|---|---|
1881693455 | NPI | - | NPPES |
0053108000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 15404 (West Virginia) | Primary |
Entity Name | Jefferson Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891722377 PECOS PAC ID: 0446151989 Enrollment ID: O20040116000736 |
Entity Name | City Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942503164 PECOS PAC ID: 3375444524 Enrollment ID: O20040120000306 |
Entity Name | Health Care Alliance, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730128760 PECOS PAC ID: 5799689105 Enrollment ID: O20050816000292 |
Mailing Address | Practice Location Address |
---|---|
Daryl Michael Larusso, MD Po Box 1150, Martinsburg, WV 25402-1150 Ph: (304) 264-1000 | Daryl Michael Larusso, MD 2500 Hospital Drive, Martinsburg, WV 25401 Ph: (304) 264-1000 |
Dr. William Walter Cupo, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2500 Hospital Drive, Martinsburg, WV 25401 Phone: 304-264-1000 Fax: 304-264-1374 | |
Dr. Ohmmar K Khin, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 510 Butler Ave, Primary Care Service, Martinsburg, WV 25401 Phone: 304-263-0811 | |
Christopher Kenneth Ciardiello, PAC Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Dry Run Road, Martinsburg, WV 25401 Phone: 304-264-1000 | |
Bradley Wayne Mongold, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2500 Hospital Drive, Martinsburg, WV 25401 Phone: 304-264-1000 Fax: 304-254-1374 | |
Dr. Ronald Clare Best Jr., DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2500 Hospital Drive, Martinsburg, WV 25401 Phone: 304-264-1000 Fax: 304-264-1374 | |
Dr. Mark Edward Meany, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 510 Butler Ave, Martinsburg, WV 25401 Phone: 304-263-0811 | |
Dr. James Drew Walker, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 198 Fern Creek Ln, Martinsburg, WV 25401 Phone: 304-262-1707 |