| Bassam Haffar Inc | |
|
117 7th Ave S Charleston WV 25303-1417 | |
| (304) 395-3332 | |
| Not Available |
| Full Name | Bassam Haffar Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 117 7th Ave, S Charleston, West Virginia |
| Authorized Official Name and Position | Bassam Haffar (OWNER) |
| Authorized Official Contact | 3043953332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bassam Haffar Inc 6 Woodcrest Ln Charleston WV 25314-2472 Ph: (304) 395-3332 | Bassam Haffar Inc 117 7th Ave S Charleston WV 25303-1417 Ph: (304) 395-3332 |
| NPI Number | 1649489469 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 05/19/2008 |
| Medicare PECOS PAC ID | 5799711602 |
|---|---|
| Medicare Enrollment ID | O20050712001030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649489469 | NPI | - | NPPES |
| 65610 | Other | UNICARE | |
| 304841 | Other | ADVANTRA FREEDOM COVERNTRY | |
| 3810010229 | Medicaid | WV | |
| 0007894724 | Other | AETNA | |
| 89M935491WV01 | Other | ANTHEM BCBS | |
| 001751446 | Other | MOUNTAIN STATE BCBS | |
| 41204900C2 | Other | OPTIMUM CHOICE | |
| DD3845 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Mohamad B Haffar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205995701 PECOS PAC ID: 8426951492 Enrollment ID: I20040129000524 |
| Provider Name | Martha Ann Cowger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790013092 PECOS PAC ID: 6709041734 Enrollment ID: I20120626000127 |
| Provider Name | Amy Kathryn Haught |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043545155 PECOS PAC ID: 9638325483 Enrollment ID: I20120809000434 |
| Provider Name | Heather N Whittington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124479043 PECOS PAC ID: 9931497260 Enrollment ID: I20161019001293 |
| Provider Name | Monica Mcbryde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790388288 PECOS PAC ID: 4981009537 Enrollment ID: I20210820000674 |
Wvupc-kanawha Valley Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Division St, Suite 205, S Charleston, WV 25309 Phone: 304-768-3941 | |
Sapp Creations Marketing Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 7th Ave, Suite B 2nd Floor, S Charleston, WV 25303 Phone: 304-343-1231 |