Dr Dinchen Anna Jardine, MD | |
830 Pennsylvania Ave Ste 204, Charleston, WV 25302-3389 | |
(304) 388-2980 | |
(304) 388-2981 |
Full Name | Dr Dinchen Anna Jardine |
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Gender | Female |
Speciality | Otolaryngology |
Location | 830 Pennsylvania Ave Ste 204, Charleston, 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 |
---|---|---|---|
1699060293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 0101252383 (Virginia) | Secondary |
208D00000X | General Practice | 0116024205 (Virginia) | Secondary |
207Y00000X | Otolaryngology | 33573 (West Virginia) | Primary |
Entity Name | Charleston Area Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
Mailing Address | Practice Location Address |
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Dr Dinchen Anna Jardine, MD 830 Pennsylvania Ave Ste 103, Charleston, WV 25302-3389 Ph: (304) 388-2980 | Dr Dinchen Anna Jardine, MD 830 Pennsylvania Ave Ste 204, Charleston, WV 25302-3389 Ph: (304) 388-2980 |
Dr. Richard Austin Wallace, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1306 Kanawha Blvd E, Charleston, WV 25301 Phone: 304-343-4371 Fax: 304-353-0215 | |
Carrie Marie Bush, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 830 Pennsylvania Ave, Suite 405, Charleston, WV 25302 Phone: 304-388-2980 Fax: 304-388-2981 | |
Marcus Doddridge Shaffer, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 830 Pennsylvania Ave, Suite 302, Charleston, WV 25302 Phone: 304-388-2950 Fax: 304-388-2951 | |
Mr. Phillip Todd Nichols, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 500 Donnally St, Suite 200, Charleston, WV 25301 Phone: 304-342-0124 Fax: 304-340-2204 | |
Dr. David Richard Lough, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 500 Donnally St Ste 200, Charleston, WV 25301 Phone: 304-767-7830 Fax: 304-767-7829 | |
Mr. Michael R Goins, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1311 Virginia St. E, Suite 200, Charleston, WV 25301 Phone: 304-353-0200 Fax: 304-353-0337 |