Jack F Shamblin Iii, MD | |
94 Old Mill Rd, Martinsburg, WV 25401-9284 | |
(304) 264-8933 | |
(304) 264-8846 |
Full Name | Jack F Shamblin Iii |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 34 Years |
Location | 94 Old Mill Rd, Martinsburg, 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 |
---|---|---|---|
1831159615 | NPI | - | NPPES |
0060852000 | Medicaid | WV | |
050065778 | Other | WV | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | 17829 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Berkeley Medical Center | Martinsburg, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
City Hospital Inc | 3375444524 | 55 |
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 | Eastern Panhandle Anesthesia Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902866882 PECOS PAC ID: 5496652612 Enrollment ID: O20031216000711 |
Entity Name | City Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942503164 PECOS PAC ID: 3375444524 Enrollment ID: O20040120000306 |
Mailing Address | Practice Location Address |
---|---|
Jack F Shamblin Iii, MD 94 Old Mill Rd, Martinsburg, WV 25401-9284 Ph: (304) 264-8933 | Jack F Shamblin Iii, MD 94 Old Mill Rd, Martinsburg, WV 25401-9284 Ph: (304) 264-8933 |
Satish Kumar Menon, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 94 Old Mill Rd, Martinsburg, WV 25401 Phone: 304-264-8933 Fax: 304-264-8846 | |
Sarah Mclellan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2000 Foundation Way, Suite 3400, Martinsburg, WV 25401 Phone: 304-264-1000 | |
Linda Jones, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 94 Old Mill Rd, Martinsburg, WV 25401 Phone: 304-264-8933 Fax: 304-264-8846 | |
Duong Thai Ly, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1006 Tavern Rd, Martinsburg, WV 25401 Phone: 304-267-5141 Fax: 304-267-5140 | |
Paulette Pickett, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 94 Old Mill Rd, Martinsburg, WV 25401 Phone: 304-264-8933 Fax: 304-264-8846 | |
Danilo J Gervacio, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 94 Old Mill Rd, Martinsburg, WV 25401 Phone: 304-264-8933 Fax: 304-264-8846 | |
Phillip Nicodemus, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 94 Old Mill Rd, Martinsburg, WV 25401 Phone: 304-264-8933 Fax: 304-264-8846 |