Dr Koshy Mathews Mathai, MD | |
227 Medical Park Dr Ste 103, Bridgeport, WV 26330-8421 | |
(681) 342-3500 | |
Not Available |
Full Name | Dr Koshy Mathews Mathai |
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Gender | Male |
Speciality | Anesthesiology - Pain Medicine |
Location | 227 Medical Park Dr Ste 103, Bridgeport, 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 |
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1568606408 | NPI | - | NPPES |
Entity Name | West Virginia University Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
Mailing Address | Practice Location Address |
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Dr Koshy Mathews Mathai, MD 227 Medical Park Dr Ste 103, Bridgeport, WV 26330-8421 Ph: (681) 342-3500 | Dr Koshy Mathews Mathai, MD 227 Medical Park Dr Ste 103, Bridgeport, WV 26330-8421 Ph: (681) 342-3500 |
Crystal A. De Wit, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 527 Medical Park Dr Ste 500, Bridgeport, WV 26330 Phone: 681-342-3600 | |
Annas Sabbagh, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 227 Medical Park Dr Ste 103, Bridgeport, WV 26330 Phone: 681-342-3500 | |
Joseph M Folio, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1000 | |
Frank P Dombkoski, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 327 Medical Park Dr, Anesthesia Dept, Bridgeport, WV 26330 Phone: 681-342-1610 Fax: 681-342-1626 | |
Dr. Amante Agustin Lopez, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1610 Fax: 681-342-1626 | |
Dr. Scott M Ross, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 304-233-2455 |