Dr Joseph J Fazalare, MD | |
527 Medical Park Dr Ste 400, Bridgeport, WV 26330-9010 | |
(681) 342-3500 | |
(681) 342-3507 |
Full Name | Dr Joseph J Fazalare |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 20 Years |
Location | 527 Medical Park Dr Ste 400, Bridgeport, West Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336307941 | NPI | - | NPPES |
4293261 | Other | WV | MEDICARE PTAN |
3810018178 | Other | WV | MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0005X | Orthopaedic Surgery - Sports Medicine | 24001 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
United Hospital Center | Bridgeport, WV | Hospital |
St Joseph's Hospital | Buckhannon, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
United Hospital Center Inc | 8123936010 | 207 |
Entity Name | United Hospital Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760965586 PECOS PAC ID: 8123936010 Enrollment ID: O20031212000802 |
Entity Name | Braxton County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356304547 PECOS PAC ID: 5193717759 Enrollment ID: O20040401001560 |
Entity Name | West Virginia Health Care Cooperative Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417415324 PECOS PAC ID: 9830431030 Enrollment ID: O20190508000440 |
Entity Name | West Virginia Health Care Cooperative Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1043778319 PECOS PAC ID: 9830431030 Enrollment ID: O20190531001788 |
Mailing Address | Practice Location Address |
---|---|
Dr Joseph J Fazalare, MD 527 Medical Park Dr Ste 400, Bridgeport, WV 26330-9010 Ph: (681) 342-3500 | Dr Joseph J Fazalare, MD 527 Medical Park Dr Ste 400, Bridgeport, WV 26330-9010 Ph: (681) 342-3500 |
William John Dahl, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 227 Medical Park Dr Ste 101, Bridgeport, WV 26330 Phone: 681-342-3500 | |
David L Waxman, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 527 Medical Park Dr Ste 400, Bridgeport, WV 26330 Phone: 681-342-3550 Fax: 681-342-3507 | |
Chad Harrison Poage, D.O. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 47 Highland Ridge Rd, Bridgeport, WV 26330 Phone: 304-661-3167 | |
Christopher Don Courtney, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 527 Medical Park Dr Ste 400, Bridgeport, WV 26330 Phone: 681-342-3550 Fax: 681-342-3507 |