Thomas S Kowalkowski, MD | |
1521 Maplewood Ave, Ronceverte, WV 24970-8026 | |
(304) 647-5642 | |
(304) 647-5708 |
Full Name | Thomas S Kowalkowski |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 40 Years |
Location | 1521 Maplewood Ave, Ronceverte, 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 |
---|---|---|---|
1942296066 | NPI | - | NPPES |
0040599000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 14532 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Greenbrier Valley Medical Center | Ronceverte, WV | Hospital |
Raleigh General Hospital | Beckley, WV | Hospital |
Charleston Area Medical Center | Charleston, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Camc Greenbrier Valley Medical Center Inc | 1254702962 | 32 |
Entity Name | Camc Greenbrier Valley Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588373872 PECOS PAC ID: 1254702962 Enrollment ID: O20230118000113 |
Mailing Address | Practice Location Address |
---|---|
Thomas S Kowalkowski, MD 176 Dawkins Dr, Lewisburg, WV 24901-9302 Ph: (304) 647-4411 | Thomas S Kowalkowski, MD 1521 Maplewood Ave, Ronceverte, WV 24970-8026 Ph: (304) 647-5642 |
Joseph Mouchizadeh, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1521 Maplewood Ave, Ronceverte, WV 24970 Phone: 304-647-5642 Fax: 304-647-5708 | |
Kyle F Fort, MD Urology Medicare: Medicare Enrolled Practice Location: 1521 Maplewood Ave, Ronceverte, WV 24970 Phone: 304-647-5642 Fax: 304-647-5708 |