Dr Ryan Livengood, MD | |
327 Medical Park Dr, Bridgeport, WV 26330-9006 | |
(681) 342-1523 | |
(681) 342-1548 |
Full Name | Dr Ryan Livengood |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 20 Years |
Location | 327 Medical Park Dr, 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 |
---|---|---|---|
1073710802 | NPI | - | NPPES |
3810014842 | Other | WV | MEDICAID |
WV3496A | Other | WV | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZH0000X | Pathology - Hematology | 22497 (West Virginia) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 22497 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Berkeley Medical Center | Martinsburg, WV | Hospital |
Jefferson Medical Center | Ranson, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Virginia University Medical Corporation | 1052224565 | 1621 |
Entity Name | West Virginia University Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
Entity Name | University Healthcare Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659625739 PECOS PAC ID: 8325291404 Enrollment ID: O20130124000127 |
Mailing Address | Practice Location Address |
---|---|
Dr Ryan Livengood, MD 327 Medical Park Dr, Bridgeport, WV 26330-9006 Ph: (681) 342-1523 | Dr Ryan Livengood, MD 327 Medical Park Dr, Bridgeport, WV 26330-9006 Ph: (681) 342-1523 |
Gerald Wedemeyer, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Drive, Bridgeport, WV 26330 Phone: 681-342-1525 Fax: 681-342-3125 | |
Dr. Brock Joseph Oliverio, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1610 Fax: 681-342-1626 | |
Matthew Scott Szarko, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1000 |