Bryce Elwin Anderson, | |
800 Wheeling Ave, Glen Dale, WV 26038-1697 | |
(048) 453-2113 | |
(304) 843-3202 |
Full Name | Bryce Elwin Anderson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 800 Wheeling Ave, Glen Dale, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639706591 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | M-17103 (Idaho) | Secondary |
207P00000X | Emergency Medicine | 31944 (West Virginia) | Primary |
Entity Name | Minidoka Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679553531 PECOS PAC ID: 7315908894 Enrollment ID: O20050801000086 |
Entity Name | Minidoka Memorial Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1679553531 PECOS PAC ID: 7315908894 Enrollment ID: O20061104000542 |
Entity Name | Cep America Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811357023 PECOS PAC ID: 6608056171 Enrollment ID: O20160803003292 |
Entity Name | Rocky Mountain Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851808133 PECOS PAC ID: 7911267133 Enrollment ID: O20180208002103 |
Mailing Address | Practice Location Address |
---|---|
Bryce Elwin Anderson, Po Box 9149, Morgantown, WV 26506-9149 Ph: (304) 293-2436 | Bryce Elwin Anderson, 800 Wheeling Ave, Glen Dale, WV 26038-1697 Ph: (048) 453-2113 |
Dr. Cody Braxton Larsen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-3211 | |
Braylynn Diane Clark, APRN Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-3211 | |
Dr. Joseph Matthew Palumbo, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-3211 | |
Debra L Henry, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-3211 Fax: 304-843-3202 | |
Michael Warren Burkhart, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-3211 Fax: 304-843-3202 | |
Shawn Posin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-3211 | |
Fred Shaune Robertson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-3211 Fax: 304-843-3202 |