Melchor F Vidal, MD is a medicare enrolled "Family Medicine - Geriatric Medicine" physician in Racine, West Virginia. His current practice location is
27545 Daniel Boone Prkwy, Racine, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 837-8637.
Melchor F Vidal is licensed to practice in West Virginia (license number 13443) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063515054.
Physician's Profile
Full Name | Melchor F Vidal |
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Gender | Male |
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Speciality | Family Medicine - Geriatric Medicine |
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Location | 27545 Daniel Boone Prkwy, Racine, West Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063515054
- Provider Enumeration Date: 09/06/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2961451992
- Enrollment ID: I20120119000012
Medical Identifiers
Medical identifiers for Melchor F Vidal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063515054 | NPI | - | NPPES |
0049855001 | Medicaid | WV | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QG0300X | Family Medicine - Geriatric Medicine | 13443 (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. Melchor F Vidal 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 |
Melchor F Vidal, MD Po Box 4535, Charleston, WV 25364-4535 Ph: (304) 837-8637 | Melchor F Vidal, MD 27545 Daniel Boone Prkwy, Racine, WV 25165 Ph: (304) 837-8637 |
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