Robert G Tayengco, MD | |
2007 Second Street, Mason, WV 25260 | |
(304) 773-5195 | |
(304) 675-5167 |
Full Name | Robert G Tayengco |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 34 Years |
Location | 2007 Second Street, Mason, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215038401 | NPI | - | NPPES |
000026375 | Other | WA | BCBS |
550737600 | Other | WV | COMMERICAL INSURANCE |
0080756000 | Medicaid | WV | |
2028755 | Medicaid | OH | |
230077 | Other | WV | FEDERAL BLACK LUNG |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 19087 (West Virginia) | Primary |
207RC0200X | Internal Medicine - Critical Care Medicine | 19087 (West Virginia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Pleasant Valley Home Health | Point pleasant, WV | Home health agency |
Pleasant Valley Home Health | Gallipolis, OH | Home health agency |
Holzer Home Care | Gallipolis, OH | Home health agency |
Amedisys Home Health Of West Virginia | Charleston, WV | Home health agency |
Pleasant Valley Hospital | Point pleasant, WV | Hospital |
Holzer Medical Center | Gallipolis, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Point Pleasant Physician Billing Services | 3375538184 | 28 |
Entity Name | Point Pleasant Physician Billing Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396798898 PECOS PAC ID: 3375538184 Enrollment ID: O20040419001780 |
Mailing Address | Practice Location Address |
---|---|
Robert G Tayengco, MD Po Box 236, Pt Pleasant, WV 25550-0236 Ph: (304) 675-1020 | Robert G Tayengco, MD 2007 Second Street, Mason, WV 25260 Ph: (304) 773-5195 |
Wesley R Lieving, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 2007 Second Street, Mason, WV 25260 Phone: 304-773-5194 |