Samuel Gray Deem, DO | |
3100 Maccorkle Ave Se, Suite 602, Charleston, WV 25304-1223 | |
(304) 388-5120 | |
(304) 388-5125 |
Full Name | Samuel Gray Deem |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 20 Years |
Location | 3100 Maccorkle Ave Se, Charleston, 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 |
---|---|---|---|
1700909702 | NPI | - | NPPES |
P01087428 | Other | WV | RAILROAD MEDICARE |
3810010649 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 2176 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Charleston Area Medical Center | Charleston, WV | Hospital |
Plateau Medical Center | Oak hill, WV | Hospital |
Beckley Arh Hospital | Beckley, WV | Hospital |
Roane General Hospital | Spencer, WV | Hospital |
Logan Regional Medical Center | Logan, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Charleston Area Medical Center Inc | 3375441637 | 674 |
Entity Name | Charleston Area Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
Mailing Address | Practice Location Address |
---|---|
Samuel Gray Deem, DO 3100 Maccorkle Ave Se Ste 602, Charleston, WV 25304 Ph: (304) 388-5280 | Samuel Gray Deem, DO 3100 Maccorkle Ave Se, Suite 602, Charleston, WV 25304-1223 Ph: (304) 388-5120 |
Mary Elizabeth Novak, DO Urology Medicare: Medicare Enrolled Practice Location: Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-5590 Fax: 304-388-8238 | |
Ross Samuel Oliver Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2335 Chesterfield Avenue,, Suite 101, Charleston, WV 25304 Phone: 304-344-3785 Fax: 304-344-3765 | |
Rodney D. Dean, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 66 Quarry Ridge, Charleston, WV 25304 Phone: 304-330-4865 | |
James P. Tierney, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 11 Courtney Drive, Charleston, WV 25304 Phone: 304-925-8521 Fax: 304-925-8523 | |
Bashir R. Sankari, M.D. Urology Medicare: Medicare Enrolled Practice Location: 501 Morris Street, 5 West, Camc Renal Transplant Center, Charleston, WV 25301 Phone: 304-388-7823 Fax: 304-388-7820 | |
Shozo Kurusu, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1313 Quarrier St, Charleston, WV 25301 Phone: 304-792-6275 |