Ronald Bradburn Vincent Pearson Jr, MD is a medicare enrolled "Surgery" physician in Gassaway, West Virginia. He went to Jc Edwards School Of Medicine, Marshall University and graduated in 1995 and has 29 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Minnie Hamilton Health Care Center Inc, Stonewall Jackson Memorial Hospital Company and his current practice location is
100 Hoylman Dr, Gassaway, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 364-1153.
Ronald Bradburn Vincent Pearson Jr is licensed to practice in West Virginia (license number 20152) 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 1063466803.
Physician's Profile
| Full Name | Ronald Bradburn Vincent Pearson Jr |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 29 Years |
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| Location | 100 Hoylman Dr, Gassaway, 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. |
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Medical Education and Training:
- Ronald Bradburn Vincent Pearson Jr attended and graduated from Jc Edwards School Of Medicine, Marshall University in 1995
NPI Data:
- NPI Number: 1063466803
- Provider Enumeration Date: 05/19/2006
- Last Update Date: 07/25/2008
Medicare PECOS Information:
- PECOS PAC ID: 4789695826
- Enrollment ID: I20060605000262
Medical Identifiers
Medical identifiers for Ronald Bradburn Vincent Pearson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063466803 | NPI | - | NPPES |
| BR5113081 | Other | WV | MEDICARE PART B GROUP |
| 0001417002 | Other | WV | MEDICAID GROUP |
| 5T5100381 | Other | WV | MEDICARE GROUP |
| 7300262000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 20152 (West Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Minnie Hamilton Health Care Center Inc | 2961311667 | 20 |
| Stonewall Jackson Memorial Hospital Company | 4284530551 | 42 |
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. Ronald Bradburn Vincent Pearson Jr allows following entities to bill medicare on his behalf.
| Entity Name | Stonewall Jackson Memorial Hospital Company |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477559433
PECOS PAC ID: 4284530551
Enrollment ID: O20040130000739 |
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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. Ronald Bradburn Vincent Pearson Jr 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 |
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Ronald Bradburn Vincent Pearson Jr, MD
Hc 71 Box 119d,
Ellamore, WV 26267-9501
Ph: (304) 473-0303 | Ronald Bradburn Vincent Pearson Jr, MD
100 Hoylman Dr,
Gassaway, WV 26624-9321
Ph: (304) 364-1153 |
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