Consuela J Cruden-parham, MD - Medicare Obstetrics/gynecology in Martinsburg, WV

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Consuela J Cruden-parham, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Martinsburg, West Virginia. She went to Baylor College Of Medicine and graduated in 2003 and has 23 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice City Hospital Inc, West Virginia University Medical Corporation and her current practice location is 99 Tavern Rd, Martinsburg, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 263-8964.

Consuela J Cruden-parham is licensed to practice in West Virginia (license number 22939) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972784023.

Contact Information

Consuela J Cruden-parham, MD
99 Tavern Rd,
Martinsburg, WV 25401-2890
(304) 263-8964
Not Available

Map and Direction




Physician's Profile

Full NameConsuela J Cruden-parham
GenderFemale
SpecialityObstetrics/gynecology
Experience23 Years
Location99 Tavern Rd, Martinsburg, West Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Consuela J Cruden-parham attended and graduated from Baylor College Of Medicine in 2003
  NPI Data:
  • NPI Number: 1972784023
  • Provider Enumeration Date: 11/16/2007
  • Last Update Date: 04/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4688703838
  • Enrollment ID: I20100526000326

Medical Identifiers

Medical identifiers for Consuela J Cruden-parham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972784023NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 22939 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jefferson Medical CenterRanson, WVHospital
Berkeley Medical CenterMartinsburg, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
City Hospital Inc3375444524155
West Virginia University Medical Corporation10522245651974

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Consuela J Cruden-parham allows following entities to bill medicare on her behalf.
Entity NameWest Virginia University Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275504508
PECOS PAC ID: 1052224565
Enrollment ID: O20031111000207
Entity NameJefferson Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891722377
PECOS PAC ID: 0446151989
Enrollment ID: O20040116000736
Entity NameCity Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942503164
PECOS PAC ID: 3375444524
Enrollment ID: O20040120000306
Entity NameUniversity Healthcare Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659625739
PECOS PAC ID: 8325291404
Enrollment ID: O20130124000127
Entity NameJefferson Memorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1891722377
PECOS PAC ID: 0446151989
Enrollment ID: O20230202001687

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Consuela J Cruden-parham is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Consuela J Cruden-parham, MD
Po Box 1146,
Martinsburg, WV 25402-1146

Ph: (304) 263-8964		Consuela J Cruden-parham, MD
99 Tavern Rd,
Martinsburg, WV 25401-2890

Ph: (304) 263-8964

Reviews and Comments


Obstetrics & Gynecology Doctors in Martinsburg, WV

Krista Hopkins, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 99 Tavern Rd, Martinsburg, WV 25401
Phone: 304-263-4999    
H. Alexander Wanger, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 99 Tavern Rd, Martinsburg, WV 25401
Phone: 304-263-4999    
Sylvia S Cruz, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 215 South Louisiana Avenue, Martinsburg, WV 25401
Phone: 304-267-5559    Fax: 304-267-5557
Mr. James Edward Brown, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 2010 Doctor Oates Dr, Ste 106, Martinsburg, WV 25401
Phone: 304-264-8603    Fax: 304-264-1577
Dr. Albert K Leung, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 323 Aikens Ctr, Martinsburg, WV 25404
Phone: 304-263-7100    Fax: 304-263-7441
Dr. Jessica Marie Hott, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 302 Rock Cliff Dr, Martinsburg, WV 25401
Phone: 304-944-4432    Fax: 304-944-4417
Dr. Derek D Kaznoski, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1178 Shepherdstown Rd, Martinsburg, WV 25404
Phone: 304-264-9332    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.