Thomas A Herrmann, MD | |
800 Grand Central Mall, Suite 4, Vienna, WV 26105-4131 | |
(304) 485-3300 | |
(304) 485-3317 |
Full Name | Thomas A Herrmann |
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Gender | Male |
Speciality | Family Medicine |
Location | 800 Grand Central Mall, Vienna, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447253208 | NPI | - | NPPES |
0257323 | Medicaid | OH | |
0052734000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35.086160 (Ohio) | Secondary |
207Q00000X | Family Medicine | 16285 (West Virginia) | Primary |
Entity Name | West Virginia University Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20180321001566 |
Mailing Address | Practice Location Address |
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Thomas A Herrmann, MD 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4131 Ph: (304) 485-3300 | Thomas A Herrmann, MD 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4131 Ph: (304) 485-3300 |
Richard B Boone, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Grand Central Mall Ste 11, Vienna, WV 26105 Phone: 304-916-1270 Fax: 304-916-1705 | |
Catherine A Adkins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Grand Central Mall, Suite 4, Vienna, WV 26105 Phone: 304-485-3300 Fax: 304-485-3317 | |
Mrs. Halee Janelle Bowie, APRN-FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 800 Grand Central Mall Ste 4, Vienna, WV 26105 Phone: 304-485-3300 Fax: 304-485-3317 | |
Dr. David Ralph Ferrell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Grand Central Ave, Ste 115, Vienna, WV 26105 Phone: 304-295-2311 | |
Dr. Michael Brian Mauzy, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Grand Central Mall, Suite 4, Vienna, WV 26105 Phone: 304-485-3300 Fax: 304-485-3317 | |
Vickie A Cox, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Grand Central Mall, Suite 4, Vienna, WV 26105 Phone: 304-485-3300 Fax: 304-485-3317 |