Dr Beth Bloom Emrick, MD | |
300 Corporate Center Dr., Scott Depot, WV 25560 | |
(304) 691-8901 | |
(304) 691-1679 |
Full Name | Dr Beth Bloom Emrick |
---|---|
Gender | Female |
Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
Location | 300 Corporate Center Dr., Scott Depot, 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 |
---|---|---|---|
1336339191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 24203 (West Virginia) | Secondary |
2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 24203 (West Virginia) | Primary |
Entity Name | University Physicians & Surgeons, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730183286 PECOS PAC ID: 2961315734 Enrollment ID: O20031107000331 |
Mailing Address | Practice Location Address |
---|---|
Dr Beth Bloom Emrick, MD 1448 10th Ave Ste 304, Huntington, WV 25701-3579 Ph: () - | Dr Beth Bloom Emrick, MD 300 Corporate Center Dr., Scott Depot, WV 25560 Ph: (304) 691-8901 |
Abdullah Shabarek, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Corporate Center Drive, Scott Depot, WV 25560 Phone: 304-691-6800 | |
Dr. Susanna A. Kapourales, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Corporate Center Drive, Scott Depot, WV 25560 Phone: 304-691-8870 Fax: 304-691-6751 | |
Ms. Ann M. Lambernedis, M.D, Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Great Teays Blvd Ste 101, Scott Depot, WV 25560 Phone: 304-757-8803 Fax: 304-757-8803 | |
Mary J Bailey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 97 Great Teays Blvd, Suite 6, Scott Depot, WV 25560 Phone: 304-757-6999 Fax: 304-201-5019 | |
Denise Nicole Young, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 303 Great Teays Blvd, Scott Depot, WV 25560 Phone: 304-757-8803 Fax: 304-757-6904 | |
Angela Beth Ferguson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301-6 Great Teays Blvd, Scott Depot, WV 25560 Phone: 304-757-6999 Fax: 304-757-3252 |