Mitchell Fuscardo, DO | |
601 Colliers Way, Weirton, WV 26062-5014 | |
(330) 493-4443 | |
Not Available |
Full Name | Mitchell Fuscardo |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 601 Colliers Way, Weirton, 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 |
---|---|---|---|
1407996309 | NPI | - | NPPES |
0040729000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 1053 (West Virginia) | Primary |
Entity Name | Greenbrier Emergency Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568401461 PECOS PAC ID: 2668377359 Enrollment ID: O20031205000043 |
Mailing Address | Practice Location Address |
---|---|
Mitchell Fuscardo, DO 4535 Dressler Rd Nw, Canton, OH 44718-2545 Ph: (330) 493-4443 | Mitchell Fuscardo, DO 601 Colliers Way, Weirton, WV 26062-5014 Ph: (330) 493-4443 |
Dr. Christian Bosquet, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 917-346-5756 | |
Timothy G Lane, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 330-493-4443 Fax: 330-493-8677 | |
Dr. Joshua Tad Lucas, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 330-493-4443 | |
Todd Fijewski, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 330-493-4443 Fax: 330-493-8677 | |
Dr. Daryl Trusty, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 304-797-6095 Fax: 304-797-6090 | |
Kelly B Close, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 330-493-4443 Fax: 330-493-8677 |