Jon S Laplante, MD | |
700 Village Dr, Fairmont, WV 26554-7985 | |
(304) 366-2600 | |
Not Available |
Full Name | Jon S Laplante |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 700 Village Dr, Fairmont, 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 |
---|---|---|---|
1629077656 | NPI | - | NPPES |
0121173000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 17788 (West Virginia) | Primary |
Entity Name | Pendleton Community Care Inc |
---|---|
Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1265634059 PECOS PAC ID: 3678470614 Enrollment ID: O20031217000523 |
Entity Name | Radiological Physician Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811996960 PECOS PAC ID: 7719955368 Enrollment ID: O20040921000855 |
Entity Name | Premier Imaging And Intervention Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285633370 PECOS PAC ID: 4587562335 Enrollment ID: O20050617000389 |
Mailing Address | Practice Location Address |
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Jon S Laplante, MD Po Box 890707, Charlotte, NC 28289-0707 Ph: (866) 338-6463 | Jon S Laplante, MD 700 Village Dr, Fairmont, WV 26554-7985 Ph: (304) 366-2600 |
Deborah A Willard, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 700 Village Dr, Fairmont, WV 26554 Phone: 304-366-2600 | |
Gerardo M Lopez, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 700 Village Dr, Fairmont, WV 26554 Phone: 304-366-2600 | |
Dr. Roberto A Cunanan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1322 Locust Ave, Fairmont, WV 26554 Phone: 304-366-0700 Fax: 304-366-9529 | |
James A Ross, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 Village Dr, Fairmont, WV 26554 Phone: 304-366-2600 | |
Dr. Mark A Hackney, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 Village Dr, Fairmont, WV 26554 Phone: 304-366-2600 Fax: 304-366-2080 | |
Claudia A Goodwin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 700 Village Dr, Fairmont, WV 26554 Phone: 304-366-2600 | |
John A Leon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 Village Dr, Fairmont, WV 26554 Phone: 304-366-2600 |