Keith A Poole, DO | |
55741 National Road, Bridgeport, OH 43912 | |
(740) 635-4572 | |
(740) 635-4575 |
Full Name | Keith A Poole |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 25 Years |
Location | 55741 National Road, Bridgeport, Ohio |
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 |
---|---|---|---|
1487609558 | NPI | - | NPPES |
1841034000 | Medicaid | WV | |
2345144 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1840 (West Virginia) | Secondary |
207Q00000X | Family Medicine | 34.007929 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Visiting Nursing Services Of Wheeling Hospital-bel | Bellaire, OH | Home health agency |
Wheeling Hospital | Wheeling, WV | Hospital |
Harrison Community Hospital | Cadiz, OH | Hospital |
Reynolds Memorial Hospital | Glen dale, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wheeling Hospital Inc | 5799689493 | 321 |
Wheeling Hospital Inc | 5799689493 | 321 |
Entity Name | Wheeling Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578752101 PECOS PAC ID: 5799689493 Enrollment ID: O20040204000220 |
Mailing Address | Practice Location Address |
---|---|
Keith A Poole, DO 51339 National Rd, Saint Clairsville, OH 43950-9119 Ph: (740) 635-4572 | Keith A Poole, DO 55741 National Road, Bridgeport, OH 43912 Ph: (740) 635-4572 |
Fausto J Lazo, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 55741 National Rd, Bridgeport, OH 43912 Phone: 740-635-4572 Fax: 740-635-4575 | |
Sharon M Lazo, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 55741 National Rd, Bridgeport, OH 43912 Phone: 740-635-4572 Fax: 740-635-4575 |