| Bez Psychiatric Services Pllc | |
|
206 D St South Charleston WV 25303-3104 | |
| (681) 220-0416 | |
| (681) 201-0304 |
| Full Name | Bez Psychiatric Services Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 206 D St, South Charleston, West Virginia |
| Authorized Official Name and Position | Michelle Marie Bez (OWNER/ PA-C) |
| Authorized Official Contact | 6812200416 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bez Psychiatric Services Pllc 60 Summit Ridge Rd Hurricane WV 25526-8847 Ph: (681) 220-0416 | Bez Psychiatric Services Pllc 206 D St South Charleston WV 25303-3104 Ph: (681) 220-0416 |
| NPI Number | 1669064705 |
|---|---|
| Provider Enumeration Date | 02/10/2021 |
| Last Update Date | 02/10/2021 |
| Certification Date | 02/10/2021 |
| Medicare PECOS PAC ID | 3870992449 |
|---|---|
| Medicare Enrollment ID | O20210602000800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669064705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Edward Bez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336234921 PECOS PAC ID: 1254369325 Enrollment ID: I20130320000000 |
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