Dr Eddie Evan Anderson, DO | |
100 Hoylman Dr, Gassaway, WV 26624-9321 | |
(304) 364-5156 | |
Not Available |
Full Name | Dr Eddie Evan Anderson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 100 Hoylman Dr, Gassaway, 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 |
---|---|---|---|
1154360634 | NPI | - | NPPES |
PENDING | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 1995 (West Virginia) | Primary |
Entity Name | Little Kanawha Family Medicine Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295770600 PECOS PAC ID: 9335181759 Enrollment ID: O20050525001255 |
Mailing Address | Practice Location Address |
---|---|
Dr Eddie Evan Anderson, DO 604 W Main St, Glenville, WV 26351-1058 Ph: () - | Dr Eddie Evan Anderson, DO 100 Hoylman Dr, Gassaway, WV 26624-9321 Ph: (304) 364-5156 |
Mac Gene Bailes, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Hoylman Dr, Gassaway, WV 26624 Phone: 304-364-1060 | |
Dr. Guy David Leveaux, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hoylman Dr, Emergency Department, Braxton County Hospital, Gassaway, WV 26624 Phone: 304-364-1060 | |
Brent Glover, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hoylman Dr, Gassaway, WV 26624 Phone: 304-364-1060 Fax: 304-364-5136 |