Dominick Ryan Woofter, MD | |
1664 E Pike Street, Clarksburg, WV 26301-6011 | |
(304) 709-7000 | |
(304) 624-1780 |
Full Name | Dominick Ryan Woofter |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 1664 E Pike Street, Clarksburg, 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 |
---|---|---|---|
1760581326 | NPI | - | NPPES |
1812727000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 21451 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wvu Medicine Home Health United Hospital Center | Clarksburg, WV | Home health agency |
United Hospital Center | Bridgeport, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain State Medical Specialties Pllc | 9335046754 | 33 |
Entity Name | Mountain State Medical Specialties Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891892097 PECOS PAC ID: 9335046754 Enrollment ID: O20040308000599 |
Mailing Address | Practice Location Address |
---|---|
Dominick Ryan Woofter, MD 125 N 6th St, Clarksburg, WV 26301-2665 Ph: (304) 624-7200 | Dominick Ryan Woofter, MD 1664 E Pike Street, Clarksburg, WV 26301-6011 Ph: (304) 709-7000 |
Jill L Taylor Phillips, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Drive, Suite 2, Clarksburg, WV 26301 Phone: 304-623-3461 | |
Nancy L Joseph, MD Family Medicine Medicare: Medicare Enrolled Practice Location: One Medical Center Drive, Clarksburg, WV 26301 Phone: 304-623-3461 | |
Dr. Sivaparvati Thagirisa, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: One Medical Center Drive, Louis A. Johnson Va Medical Center, Diagnostic Service, Clarksburg, WV 26301 Phone: 304-623-3461 | |
Sandra R Rush, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6 Hospital Plz, Clarksburg, WV 26301 Phone: 304-623-5661 Fax: 304-623-2180 | |
Dr. Sidney Boggess Jackson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Center Drive, Louis A Johnson Va Health Care System, Clarksburg, WV 26301 Phone: 304-623-3461 Fax: 304-626-7034 | |
Dr. Edward P Brennan Ii, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 706 Oakmound Rd, Clarksburg, WV 26301 Phone: 304-622-7511 | |
Dr. Karen A Glogowski, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr., Clarksburg, WV 26301 Phone: 304-623-3461 Fax: 304-326-7966 |