Dr Saravut S Fung, MD is a
Ophthalmology physician based in Clarksburg, West Virginia. Dr Saravut S Fung is licensed to practice in West Virginia (license number 09963) and his current practice location is 211 S Chestnut St, Clarksburg, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 624-5212.
NPI number for Dr Saravut S Fung is 1093913840 and his current mailing address is 527 Medical Park Dr Ste 400, Bridgeport, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093913840.
Physician's Profile
| Full Name | Dr Saravut S Fung |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Location | 211 S Chestnut St, Clarksburg, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093913840
- Provider Enumeration Date: 07/03/2007
- Last Update Date: 10/05/2015
Medical Identifiers
Medical identifiers for Dr Saravut S Fung such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093913840 | NPI | - | NPPES |
| 0095455000 | Medicaid | WV | |
| 406181204 | Other | WV | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 09963 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Saravut S Fung is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Saravut S Fung, MD
527 Medical Park Dr Ste 400,
Bridgeport, WV 26330-9010
Ph: (681) 342-3500 | Dr Saravut S Fung, MD
211 S Chestnut St,
Clarksburg, WV 26301-2832
Ph: (304) 624-5212 |
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