Walter L Daughenbaugh, is a medicare enrolled "Physician Assistant" in Kenova, West Virginia. His current practice location is
2194 Booth Rd, Kenova, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 453-6351.
Walter L Daughenbaugh is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487016242.
Provider's Profile
| Full Name | Walter L Daughenbaugh |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 2194 Booth Rd, Kenova, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1487016242
- Provider Enumeration Date: 03/22/2016
- Last Update Date: 03/22/2016
Medicare PECOS Information:
- PECOS PAC ID: 4082901210
- Enrollment ID: I20161003000081
Medical Identifiers
Medical identifiers for Walter L Daughenbaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487016242 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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. Walter L Daughenbaugh is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Walter L Daughenbaugh,
2194 Booth Rd,
Kenova, WV 25530-9544
Ph: () - | Walter L Daughenbaugh,
2194 Booth Rd,
Kenova, WV 25530-9544
Ph: (304) 453-6351 |
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