| Family Medicine Of Martinsburg, Pllc | |
|
651 Foxcroft Ave Suite 110 Martinsburg WV 25401-5306 | |
| (304) 264-3660 | |
| (304) 264-3665 |
| Full Name | Family Medicine Of Martinsburg, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 651 Foxcroft Ave, Martinsburg, West Virginia |
| Authorized Official Name and Position | Travis Allen Eugene Schildt (OWNER, PRESIDENT) |
| Authorized Official Contact | 3042643660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Of Martinsburg, Pllc 651 Foxcroft Ave Suite 110 Martinsburg WV 25401-5306 Ph: (304) 264-3660 | Family Medicine Of Martinsburg, Pllc 651 Foxcroft Ave Suite 110 Martinsburg WV 25401-5306 Ph: (304) 264-3660 |
| NPI Number | 1063883023 |
|---|---|
| Provider Enumeration Date | 10/15/2015 |
| Last Update Date | 03/04/2021 |
| Medicare PECOS PAC ID | 9739480963 |
|---|---|
| Medicare Enrollment ID | O20151214000682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063883023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23075 (West Virginia) | Primary |
| Provider Name | Travis A E Schildt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033316781 PECOS PAC ID: 9436292364 Enrollment ID: I20100212000188 |
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