Dr John R Phillips, MD | |
1 Stadium Drive, Morgantown, WV 26506 | |
(304) 598-4800 | |
(304) 293-6963 |
Full Name | Dr John R Phillips |
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Gender | Male |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 1 Stadium Drive, Morgantown, 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 |
---|---|---|---|
1255411187 | NPI | - | NPPES |
0184366000 | Medicaid | WV | |
WV7088G274 | Other | WV | MEDICARE HEARTNEXUS, INC. |
PH6030471 | Other | WV | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | 20557 (West Virginia) | Primary |
Entity Name | Montgomery General Hospital, Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1619913647 PECOS PAC ID: 6204735269 Enrollment ID: O20050110000040 |
Entity Name | Heartnexus Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083162739 PECOS PAC ID: 4688953649 Enrollment ID: O20161115000270 |
Mailing Address | Practice Location Address |
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Dr John R Phillips, MD Po Box 897, Morgantown, WV 26507-0897 Ph: (304) 293-7401 | Dr John R Phillips, MD 1 Stadium Drive, Morgantown, WV 26506 Ph: (304) 598-4800 |
Dr. Kathryn S Moffett, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Stadium Drive, Morgantown, WV 26506 Phone: 304-598-4800 Fax: 304-598-6061 | |
Rupesh Kumar Natarajan, Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-293-4451 | |
Dr. Melissa Albert, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1000 Mon Health Medical Park Dr Ste 1202, Morgantown, WV 26505 Phone: 304-599-1975 Fax: 304-599-2705 | |
Dr. Panitan Yossuck, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Stadium Drive, Morgantown, WV 26506 Phone: 304-598-4800 Fax: 304-293-6963 | |
Audra Suzanne Rouster, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, 9214, Morgantown, WV 26506 Phone: 304-293-1017 | |
Martin Edward Weisse, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4800 | |
Dr. Shipra Gupta, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4800 |