Dr Justin Wayne Douglas, MD | |
1256 N Eisenhower Dr, Beckley, WV 25801-3120 | |
(304) 254-2641 | |
Not Available |
Full Name | Dr Justin Wayne Douglas |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 17 Years |
Location | 1256 N Eisenhower Dr, Beckley, 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 |
---|---|---|---|
1326210857 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 0101263258 (Virginia) | Secondary |
207Y00000X | Otolaryngology | 55925 (Kentucky) | Secondary |
207Y00000X | Otolaryngology | 23770 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beckley Arh Hospital | Beckley, WV | Hospital |
Tug Valley Arh Regional Medical Center | South williamson, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Appalachian Regional Healthcare Inc | 0840107835 | 230 |
Southern Wv Medical And Surgical Specialists Pllc | 3173810769 | 4 |
Appalachian Regional Healthcare Inc | 0840107835 | 230 |
Entity Name | Appalachian Regional Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477510162 PECOS PAC ID: 0840107835 Enrollment ID: O20031210000688 |
Entity Name | Southern Wv Medical And Surgical Specialists Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497103386 PECOS PAC ID: 3173810769 Enrollment ID: O20160926001336 |
Mailing Address | Practice Location Address |
---|---|
Dr Justin Wayne Douglas, MD 206 Skylar Dr, Lewisburg, WV 24901-9383 Ph: (681) 318-3540 | Dr Justin Wayne Douglas, MD 1256 N Eisenhower Dr, Beckley, WV 25801-3120 Ph: (304) 254-2641 |
Albert James Paine Jr., MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 78 Brookshire Ln, Beckley, WV 25801 Phone: 304-255-2341 Fax: 304-255-2343 | |
Dr. Billie Jean Crigger, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 240 George St, Beckley, WV 25801 Phone: 304-254-8272 Fax: 304-254-8280 | |
Dr. David Allen Blaine, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 84 Brookshire Ln, Beckley, WV 25801 Phone: 304-255-2341 |