Mr Kelly Mccoy Pitsenbarger, MD is a medicare enrolled "Family Medicine" physician in Shady Spring, West Virginia. His current practice location is
126 Carpenter St, Shady Spring, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 255-2426.
Mr Kelly Mccoy Pitsenbarger is licensed to practice in West Virginia (license number WV13927) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023004744.
Physician's Profile
Full Name | Mr Kelly Mccoy Pitsenbarger |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 126 Carpenter St, Shady Spring, West Virginia |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Kelly Mccoy Pitsenbarger attended and graduated from in
NPI Data:
- NPI Number: 1023004744
- Provider Enumeration Date: 09/27/2005
- Last Update Date: 10/23/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Kelly Mccoy Pitsenbarger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023004744 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | WV13927 (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. Mr Kelly Mccoy Pitsenbarger 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 |
Mr Kelly Mccoy Pitsenbarger, MD Po Box 1437, Shady Spring, WV 25918-1437 Ph: (304) 255-2426 | Mr Kelly Mccoy Pitsenbarger, MD 126 Carpenter St, Shady Spring, WV 25918-8417 Ph: (304) 255-2426 |
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