| Deidre D Redd, MD | |
|
501 Morris St, Charleston, WV 25301-1326 | |
| (304) 388-5432 | |
| Not Available |
| Full Name | Deidre D Redd |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 501 Morris St, Charleston, 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 |
|---|---|---|---|
| 1306995865 | NPI | - | NPPES |
| 2140874 | Medicaid | OH | |
| 000000228201 | Other | OH | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 35073959R (Ohio) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 31368 (West Virginia) | Primary |
| Entity Name | Somc Medical Care Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457467227 PECOS PAC ID: 9436061645 Enrollment ID: O20031125000203 |
| Entity Name | Vibra Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659705424 PECOS PAC ID: 8921233933 Enrollment ID: O20141211000912 |
| Mailing Address | Practice Location Address |
|---|---|
| Deidre D Redd, MD 400 Association Dr Ste 102, Charleston, WV 25311-1298 Ph: (304) 388-1724 | Deidre D Redd, MD 501 Morris St, Charleston, WV 25301-1326 Ph: (304) 388-5432 |
Edward Andrew Woods, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 501 Morris St, Charleston, WV 25301 Phone: 304-388-6301 Fax: 304-388-7864 | |
Kenneth Carr Wright, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 501 Morris St, Camc General Hospital, Charleston, WV 25301 Phone: 304-388-6301 Fax: 304-388-7864 | |
Dr. Prasadarao B Mukkamala, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: Union Square, One Monongalia Street, Suite 3, Charleston, WV 25302 Phone: 304-344-5153 Fax: 304-344-5184 | |
Mrs. Janet Ann Jenkins, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 501 Morris St, Camc General Hospital, Charleston, WV 25301 Phone: 304-388-6301 Fax: 304-388-7864 | |
Thomas P Chrisley, PT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 301 Rhl Blvd, Ste 202, Charleston, WV 25309 Phone: 304-746-9200 Fax: 304-746-9202 |