Vijaykumar R Phade, MD is a
Surgery physician based in Bluefield, West Virginia. Vijaykumar R Phade is licensed to practice in West Virginia (license number 12519) and his current practice location is 496 Cherry St, Bldg C Ste A, Bluefield, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 327-7476.
NPI number for Vijaykumar R Phade is 1538124680 and his current mailing address is Po Box 1553, Bluefield, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538124680.
Physician's Profile
| Full Name | Vijaykumar R Phade |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 496 Cherry St, Bluefield, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538124680
- Provider Enumeration Date: 04/20/2006
- Last Update Date: 01/02/2008
Medical Identifiers
Medical identifiers for Vijaykumar R Phade such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538124680 | NPI | - | NPPES |
| 0218227000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 12519 (West Virginia) | Primary |
| 208600000X | Surgery | 0101037661 (Virginia) | Secondary |
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. Vijaykumar R Phade is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Vijaykumar R Phade, MD
Po Box 1553,
Bluefield, WV 24701
Ph: (304) 327-7476 | Vijaykumar R Phade, MD
496 Cherry St, Bldg C Ste A,
Bluefield, WV 24701-3304
Ph: (304) 327-7476 |
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