| Phillip Nicodemus, CRNA | |
|
94 Old Mill Rd, Martinsburg, WV 25401-9284 | |
| (304) 264-8933 | |
| (304) 264-8846 |
| Full Name | Phillip Nicodemus |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 94 Old Mill Rd, Martinsburg, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417917899 | NPI | - | NPPES |
| 0068750000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 33379 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Nicodemus, CRNA 94 Old Mill Rd, Martinsburg, WV 25401-9284 Ph: (304) 264-8933 | Phillip Nicodemus, CRNA 94 Old Mill Rd, Martinsburg, WV 25401-9284 Ph: (304) 264-8933 |
Satish Kumar Menon, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 94 Old Mill Rd, Martinsburg, WV 25401 Phone: 304-264-8933 Fax: 304-264-8846 | |
Sarah Mclellan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2000 Foundation Way, Suite 3400, Martinsburg, WV 25401 Phone: 304-264-1000 | |
Linda Jones, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 94 Old Mill Rd, Martinsburg, WV 25401 Phone: 304-264-8933 Fax: 304-264-8846 | |
Duong Thai Ly, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1006 Tavern Rd, Martinsburg, WV 25401 Phone: 304-267-5141 Fax: 304-267-5140 | |
Paulette Pickett, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 94 Old Mill Rd, Martinsburg, WV 25401 Phone: 304-264-8933 Fax: 304-264-8846 | |
Danilo J Gervacio, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 94 Old Mill Rd, Martinsburg, WV 25401 Phone: 304-264-8933 Fax: 304-264-8846 |