| David A Phillips, MD | |
|
4408 Maccorkle Ave Se, Charleston, WV 25304-2506 | |
| (304) 357-9049 | |
| (304) 340-1409 |
| Full Name | David A Phillips |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 34 Years |
| Location | 4408 Maccorkle Ave Se, Charleston, West Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700846078 | NPI | - | NPPES |
| 1700846078 | Medicaid | WV | |
| 006306446 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 18984 (West Virginia) | Primary |
| 207Y00000X | Otolaryngology | 0101232269 (Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Camc Charleston Surgical Hospital | Charleston, WV | Hospital |
| Thomas Memorial Hospital | South charleston, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Charleston Area Medical Center Inc | 3375441637 | 969 |
| Ear, Nose And Throat Physicians And Surgeons Of Charleston, Pllc | 1254570401 | 2 |
| Entity Name | Charleston Area Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
| Entity Name | Ear, Nose & Throat Physicians and Surgeons of Charleston, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477899623 PECOS PAC ID: 1254570401 Enrollment ID: O20130618000866 |
| Mailing Address | Practice Location Address |
|---|---|
| David A Phillips, MD 400 Association Dr Ste 102, Charleston, WV 25311-1298 Ph: Not Available | David A Phillips, MD 4408 Maccorkle Ave Se, Charleston, WV 25304-2506 Ph: (304) 357-9049 |
Dr. Richard Austin Wallace, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1306 Kanawha Blvd E, Charleston, WV 25301 Phone: 304-343-4371 Fax: 304-353-0215 |
Carrie Marie Bush, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 830 Pennsylvania Ave, Suite 405, Charleston, WV 25302 Phone: 304-388-2980 Fax: 304-388-2981 |
Marcus Doddridge Shaffer, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 830 Pennsylvania Ave, Suite 302, Charleston, WV 25302 Phone: 304-388-2950 Fax: 304-388-2951 |
Mr. Phillip Todd Nichols, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 500 Donnally St, Suite 200, Charleston, WV 25301 Phone: 304-342-0124 Fax: 304-340-2204 |
Dr. David Richard Lough, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 500 Donnally St Ste 200, Charleston, WV 25301 Phone: 304-767-7830 Fax: 304-767-7829 |
Dr. Teofilo Gozaine, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 830 Pennsylvania Ave Ste 204, Charleston, WV 25302 Phone: 304-388-2980 |
Mr. Michael R Goins, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1311 Virginia St. E, Suite 200, Charleston, WV 25301 Phone: 304-353-0200 Fax: 304-353-0337 |