Dr Elizabeth Johnson Young, MD | |
300 Kenton Dr, Suite 100, Charleston, WV 25311-1263 | |
(304) 346-5533 | |
(304) 346-5611 |
Full Name | Dr Elizabeth Johnson Young |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 19 Years |
Location | 300 Kenton Dr, Charleston, West Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316165103 | NPI | - | NPPES |
P00189318 | Other | WV | UMWA PIN NUMBER FOR GROUP |
P00215125 | Other | WV | RAILROAD NUMBER FOR THE GROUP |
001706175 | Other | WV | BLUE CROSS NUMBER FOR GROUP |
1447349238 | Other | WV | NPI NUMBER FOR THE GROUP |
3810001081 | Medicaid | WV | |
DC7713 | Other | WV | UMWA NUMBER FOR GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 22972 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Charleston Area Medical Center | Charleston, WV | Hospital |
Thomas Memorial Hospital | South charleston, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain State Medical Associates Pllc | 8921062183 | 6 |
Entity Name | Mountain State Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447349238 PECOS PAC ID: 8921062183 Enrollment ID: O20041117000293 |
Mailing Address | Practice Location Address |
---|---|
Dr Elizabeth Johnson Young, MD 300 Kenton Dr, Suite100, Charleston, WV 25311-1263 Ph: (304) 346-5533 | Dr Elizabeth Johnson Young, MD 300 Kenton Dr, Suite 100, Charleston, WV 25311-1263 Ph: (304) 346-5533 |
Dr. Asif Rahman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2345 Chesterfield Ave, Suite 301, Charleston, WV 25304 Phone: 304-344-2900 Fax: 304-344-9385 | |
David L Namay, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3411 B Noyes Avenue Se, Charleston, WV 25304 Phone: 304-720-3206 Fax: 304-720-3207 | |
Joseph Jarrell, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 333 Laidley St Ste 605, Charleston, WV 25301 Phone: 304-720-7235 Fax: 304-720-7236 | |
Samar Ryiad Sankari, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1097 Fledderjohn Rd, Charleston, WV 25314 Phone: 304-720-1963 Fax: 304-720-1966 | |
Brittain Mcjunkin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3110 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-347-1300 | |
Rupali N. Sangrampurkar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-5848 Fax: 304-388-9654 | |
George Zaldivar, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Maccorkle Avenue Se, Suite 404, Charleston, WV 25304 Phone: 304-346-1811 Fax: 304-343-3086 |