| Wexford Health Solutions | |
|
94 Grapevine Rd Martinsburg WV 25405-3434 | |
| (630) 730-0302 | |
| Not Available |
| Full Name | Wexford Health Solutions |
|---|---|
| Speciality | General Practice |
| Location | 94 Grapevine Rd, Martinsburg, West Virginia |
| Authorized Official Name and Position | Nilay B Thaker (OWNER) |
| Authorized Official Contact | 6307300302 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wexford Health Solutions 4006 Candle Light Dr Dayton MD 21036-1141 Ph: (630) 730-0302 | Wexford Health Solutions 94 Grapevine Rd Martinsburg WV 25405-3434 Ph: (630) 730-0302 |
| NPI Number | 1104519966 |
|---|---|
| Provider Enumeration Date | 05/30/2023 |
| Last Update Date | 07/11/2023 |
| Medicare PECOS PAC ID | 8224491048 |
|---|---|
| Medicare Enrollment ID | O20240328002847 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104519966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Nilay Bhasker Thaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124275334 PECOS PAC ID: 5395869861 Enrollment ID: I20210630002337 |
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