Joedy L Daristotle, MD is a medicare enrolled "Otolaryngology - Otolaryngic Allergy" physician in Fairmont, West Virginia. He went to West Virginia University School Of Medicine and graduated in 1981 and has 43 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice West Virginia University Medical Corporation and his current practice location is
1712 Locust Ave, Fairmont, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 366-6157.
Joedy L Daristotle is licensed to practice in West Virginia (license number WV14772) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780712752.
Physician's Profile
| Full Name | Joedy L Daristotle |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 43 Years |
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| Location | 1712 Locust Ave, Fairmont, West Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Joedy L Daristotle attended and graduated from West Virginia University School Of Medicine in 1981
NPI Data:
- NPI Number: 1780712752
- Provider Enumeration Date: 03/01/2007
- Last Update Date: 09/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385677376
- Enrollment ID: I20050912000086
Medical Identifiers
Medical identifiers for Joedy L Daristotle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780712752 | NPI | - | NPPES |
| 0041418000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | PT21491 (North Dakota) | Secondary |
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | WV14772 (West Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| West Virginia University Medical Corporation | 1052224565 | 1621 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Joedy L Daristotle allows following entities to bill medicare on his behalf.
| Entity Name | West Virginia University Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275504508
PECOS PAC ID: 1052224565
Enrollment ID: O20031111000207 |
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| Entity Name | Exemplar, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396845236
PECOS PAC ID: 7012097736
Enrollment ID: O20080108000470 |
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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. Joedy L Daristotle is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Joedy L Daristotle, MD
1712 Locust Ave,
Fairmont, WV 26554-1321
Ph: (304) 366-6157 | Joedy L Daristotle, MD
1712 Locust Ave,
Fairmont, WV 26554-1321
Ph: (304) 366-6157 |
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