Violet Patty Shackleford, | |
1 Medical Center Drive, Room 4601, Morgantown, WV 26506 | |
(304) 598-0430 | |
Not Available |
Full Name | Violet Patty Shackleford |
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Gender | Female |
Speciality | Anesthesiology - Pain Medicine |
Location | 1 Medical Center Drive, Room 4601, Morgantown, 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 |
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1821593724 | NPI | - | NPPES |
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: O20031111000207 |
Mailing Address | Practice Location Address |
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Violet Patty Shackleford, 1 Medical Center Drive, Room 4601, Po Box 9238, Morgantown, WV 26506 Ph: (304) 598-0430 | Violet Patty Shackleford, 1 Medical Center Drive, Room 4601, Morgantown, WV 26506 Ph: (304) 598-0430 |
Shane Jafri, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4000 | |
Hong Wang, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4800 | |
Dr. David F Graf, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 101 Stadium Dr, Morgantown, WV 26506 Phone: 304-598-4000 Fax: 304-293-6963 | |
Dr. Charles Daniel Barry Ii, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Drive, Morgantown, WV 26506 Phone: 304-598-4800 | |
Miranda Lynn King, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2000 Mon Health Medical Park Dr Ste 2001, Morgantown, WV 26505 Phone: 304-720-8816 Fax: 904-494-6467 | |
Trey William Vanek, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4122 | |
Roberto Christian Valenzuela, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 2000 Mon Health Medical Park Dr Ste 2001, Morgantown, WV 26505 Phone: 304-720-8816 Fax: 904-494-6467 |