Joedy L Daristotle, MD is a medicare enrolled "Otolaryngology - Otolaryngic Allergy" physician in Fairmont, West Virginia. 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 | |
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| Experience | 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 in
NPI Data:
- NPI Number: 1780712752
- Provider Enumeration Date: 03/01/2007
- Last Update Date: 09/23/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Joedy L Daristotle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 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 |
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 |
|---|
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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