| Cesar B Ibanez Ii, MD | |
|
5170 Us Rt 60 East, Huntington, WV 25705 | |
| (304) 528-4600 | |
| Not Available |
| Full Name | Cesar B Ibanez Ii |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 5170 Us Rt 60 East, Huntington, 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 |
|---|---|---|---|
| 1750333811 | NPI | - | NPPES |
| 001719573 | Other | WV | BLUE CROSS BLUE SHIELD |
| 3001332 | Other | WV | WORKERS COMPENSATION |
| 0048653000 | Medicaid | WV | |
| 0355208 | Medicaid | OH | |
| 64941982 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10816 (West Virginia) | Primary |
| Entity Name | Greenbrier Emergency Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568401461 PECOS PAC ID: 2668377359 Enrollment ID: O20031205000043 |
| Entity Name | Racine Observation Medical Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588196851 PECOS PAC ID: 1254601578 Enrollment ID: O20170719003225 |
| Mailing Address | Practice Location Address |
|---|---|
| Cesar B Ibanez Ii, MD 5170 Us Rt 60 East, Huntington, WV 25705 Ph: (304) 528-4600 | Cesar B Ibanez Ii, MD 5170 Us Rt 60 East, Huntington, WV 25705 Ph: (304) 528-4600 |
Jessica D Wilson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2520 Valley Drive, Huntington, WV 25702 Phone: 304-675-4340 | |
Katherine Steele, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Medical Center Dr, Suite 1500, Huntington, WV 25701 Phone: 304-691-1100 Fax: 304-691-1153 | |
Dr. Tamra Aman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1540 Spring Valley Drive, Huntington, WV 25704 Phone: 304-429-6741 Fax: 304-429-0262 | |
Carrie Marie Dillard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1340 Hal Greer Blvd, Huntington, WV 25701 Phone: 304-526-2319 Fax: 304-526-2420 | |
Dr. Janet Nease Wallace, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1540 Spring Valley Drive, Huntington, WV 25704 Phone: 304-429-6741 Fax: 304-429-0262 | |
Scott W Mitchell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Hal Greer Blvd, Huntington, WV 25701 Phone: 304-399-6515 Fax: 304-399-6667 | |
Trenton Drew Hayes, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1600 Medical Center Dr, Huntington, WV 25701 Phone: 304-691-1824 |