Gary L Knepp, DO | |
400 N Jefferson St, Lewisburg, WV 24901 | |
(304) 645-3220 | |
(304) 645-4103 |
Full Name | Gary L Knepp |
---|---|
Gender | Male |
Speciality | Family Medicine - Geriatric Medicine |
Location | 400 N Jefferson St, Lewisburg, 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 |
---|---|---|---|
1275576514 | NPI | - | NPPES |
36070966 | Medicaid | IL | |
3810009549 | Medicaid | WV | |
794717 | Other | IL | HEALTH ALLIANCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | 036070966 (Illinois) | Secondary |
207QG0300X | Family Medicine - Geriatric Medicine | 2223 (West Virginia) | Primary |
Entity Name | Methodist Medical Center Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
Mailing Address | Practice Location Address |
---|---|
Gary L Knepp, DO 400 N Jefferson St, Lewisburg, WV 24901 Ph: (304) 645-3220 | Gary L Knepp, DO 400 N Jefferson St, Lewisburg, WV 24901 Ph: (304) 645-3220 |
Jennifer Nicole Rose, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 844-479-4545 | |
James Yi, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Jefferson St, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 304-647-1372 | |
George F Boxwell, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 304-645-4103 | |
Christopher Paul Kennedy, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 | |
Thomas F Steele, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 N Jefferson St, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 304-645-4103 | |
Zachary J Comeaux, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 844-479-4545 | |
Deborah Lynn Mathis, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 400 N Jefferson St, Robert C. Byrd Clinic, Lewisburg, WV 24901 Phone: 304-645-3220 |