Mr Kelly Mccoy Pitsenbarger, MD is a medicare enrolled "Family Medicine" physician in Shady Spring, West Virginia. He went to Jc Edwards School Of Medicine, Marshall University and graduated in 1983 and has 41 years of diverse experience with area of expertise as Family Practice. 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 |
|---|
| Gender | Male |
|---|
| Speciality | Family Practice |
|---|
| Experience | 41 Years |
|---|
| Location | 126 Carpenter St, Shady Spring, 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. |
|---|
Medical Education and Training:
- Mr Kelly Mccoy Pitsenbarger attended and graduated from Jc Edwards School Of Medicine, Marshall University in 1983
NPI Data:
- NPI Number: 1023004744
- Provider Enumeration Date: 09/27/2005
- Last Update Date: 10/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 3577693019
- Enrollment ID: I20100610000416
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 |
Medical Facilities Affiliation
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Kelly Mccoy Pitsenbarger allows following entities to bill medicare on his behalf.
| Entity Name | Hospice Of Southern West Virginia, Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1871686717
PECOS PAC ID: 4981600228
Enrollment ID: O20161031000369 |
|---|
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 |
Reviews and Comments