Dr Jacob Minor, DO | |
3100 Maccorkle Ave Se Ste 700, Charleston, WV 25304-1230 | |
(304) 351-1600 | |
(304) 351-1604 |
Full Name | Dr Jacob Minor |
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Gender | Male |
Speciality | Surgery |
Location | 3100 Maccorkle Ave Se Ste 700, 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 |
---|---|---|---|
1033613930 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4068 (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 Jacob Minor, DO 501 Morris St, Charleston, WV 25301-1326 Ph: (304) 647-6006 | Dr Jacob Minor, DO 3100 Maccorkle Ave Se Ste 700, Charleston, WV 25304-1230 Ph: (304) 351-1600 |
Ghulam Abbas, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3100 Maccorkle Ave Se Ste 101, Charleston, WV 25304 Phone: 304-388-5395 Fax: 304-388-5398 | |
Edward Henry Tiley Iii, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 9 Courtney Dr, Charleston, WV 25304 Phone: 304-925-3115 Fax: 304-925-2088 | |
Dr. Luke Weldon Martin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 331 Laidley St Ste 503, Charleston, WV 25301 Phone: 304-205-7912 Fax: 304-205-4694 | |
Dr. Shadi J Abu-halimah, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 415 Morris St, Suite 105, Charleston, WV 25301 Phone: 304-388-6412 Fax: 304-388-6416 | |
Dr. Michael Elmore, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3100 Maccorkle Ave Se, Ste 700, Charleston, WV 25304 Phone: 304-556-3810 Fax: 304-347-1397 | |
Dr. Eric P Mantz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 Morris St, Suite 103, Charleston, WV 25301 Phone: 304-388-7040 Fax: 304-388-7041 |