Generoso D Duremdes, MD | |
100 New Hope Rd Ste 106, Princeton, WV 24740-2143 | |
(304) 425-5093 | |
(304) 487-3675 |
Full Name | Generoso D Duremdes |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 100 New Hope Rd Ste 106, Princeton, 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 |
---|---|---|---|
1225109002 | NPI | - | NPPES |
7335067 | Medicaid | VA | |
0127426000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 09778 (West Virginia) | Primary |
208600000X | Surgery | 0101022907 (Virginia) | Secondary |
Entity Name | Princeton Surgical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649342031 PECOS PAC ID: 9133318520 Enrollment ID: O20110118000113 |
Mailing Address | Practice Location Address |
---|---|
Generoso D Duremdes, MD Po Box 1374, Princeton, WV 24740-1374 Ph: (304) 425-5093 | Generoso D Duremdes, MD 100 New Hope Rd Ste 106, Princeton, WV 24740-2143 Ph: (304) 425-5093 |
Izhar A Rana, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Newhope Rd, Suite 208, Princeton, WV 24740 Phone: 304-425-7127 Fax: 304-425-8707 | |
Dr. Eric Shane Hopkins, MD RVT FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 12th St Extension, Princeton, WV 24740 Phone: 304-425-1852 Fax: 304-431-3756 | |
Dr. David Arthur Mullins, MD RVT FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 12th St Extension, Princeton, WV 24740 Phone: 304-425-1852 Fax: 304-431-3756 | |
Gene B Duremdes, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 New Hope Rd Ste 106, Princeton, WV 24740 Phone: 304-425-5093 |