James Paul Clark Ii, MD | |
3411a Noyes Ave Se, Charleston, WV 25304 | |
(304) 344-2459 | |
(304) 345-1336 |
Full Name | James Paul Clark Ii |
---|---|
Gender | Male |
Speciality | Allergy/immunology |
Experience | 33 Years |
Location | 3411a Noyes Ave Se, Charleston, 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 |
---|---|---|---|
1306838453 | NPI | - | NPPES |
5720204 | Other | WV | AETNA |
001722434 | Other | WV | BLUE CROSS BS |
0079196000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207KA0200X | Allergy & Immunology - Allergy | 17504 (West Virginia) | Secondary |
207K00000X | Allergy & Immunology | 17504 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Charleston Area Medical Center | Charleston, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Thrush And Clark Allergists Pllc | 3870644511 | 3 |
Entity Name | Thrush & Clark Allergists Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225118946 PECOS PAC ID: 3870644511 Enrollment ID: O20090619000386 |
Mailing Address | Practice Location Address |
---|---|
James Paul Clark Ii, MD 3411a Noyes Ave Se, Charleston, WV 25304 Ph: (304) 344-2459 | James Paul Clark Ii, MD 3411a Noyes Ave Se, Charleston, WV 25304 Ph: (304) 344-2459 |
Chang Hyuk Choi, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 208 Maccorkle Ave Se, Charleston, WV 25314 Phone: 304-343-4300 Fax: 304-343-5473 | |
Chandra Mohan Kumar, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 208 Maccorkle Ave Se, Charleston, WV 25314 Phone: 304-343-4300 Fax: 304-343-5473 | |
Lawrence Blair Thrush Jr., MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3411a Noyes Ave Se, Charleston, WV 25304 Phone: 304-344-2459 Fax: 304-345-1336 | |
Dr. Mary Lind Veloso, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 208 Maccorkle Ave Se, Charleston, WV 25314 Phone: 304-343-4300 Fax: 304-343-5473 | |
Siwat Kiratiseavee, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 208 Maccorkle Ave Se, Charleston, WV 25314 Phone: 304-343-4300 Fax: 304-343-5473 |