Jonathan B Dale, MD | |
400 Fairview Heights Rd, Summersville, WV 26651-9308 | |
(304) 872-2891 | |
(304) 872-6854 |
Full Name | Jonathan B Dale |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 26 Years |
Location | 400 Fairview Heights Rd, Summersville, 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 |
---|---|---|---|
1760481014 | NPI | - | NPPES |
3810014181 | Medicaid | WV | |
DA7395861 | Other | WV | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 23453 (West Virginia) | Secondary |
207P00000X | Emergency Medicine | 23453 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Summersville Regional Medical Center | Summersville, WV | Hospital |
Summers County Arh Hospital | Hinton, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summers Emergency Physicians Llc | 9133216997 | 8 |
Entity Name | Summers Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225243702 PECOS PAC ID: 9133216997 Enrollment ID: O20071026000295 |
Entity Name | Wv Emergency Physician Partners Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396979498 PECOS PAC ID: 6608929260 Enrollment ID: O20090729000327 |
Entity Name | Nicholas Emergency Group, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124470778 PECOS PAC ID: 6305132978 Enrollment ID: O20160907002610 |
Entity Name | West Virginia Health Care Cooperative Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417415324 PECOS PAC ID: 9830431030 Enrollment ID: O20190508000440 |
Entity Name | West Virginia Health Care Cooperative Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1043778319 PECOS PAC ID: 9830431030 Enrollment ID: O20190531001788 |
Mailing Address | Practice Location Address |
---|---|
Jonathan B Dale, MD 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Jonathan B Dale, MD 400 Fairview Heights Rd, Summersville, WV 26651-9308 Ph: (304) 872-2891 |
Dr. Stanley Thomas Morris, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 400 Fairview Heights Rd, Summersville, WV 26651 Phone: 304-872-8427 | |
Dr. Robert Fleer, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Fairview Heights Rd, Summersville, WV 26651 Phone: 304-872-2891 |