| Denzil W Hawkinberry Ii, MD | |
|
34 N Kanawha St, Buckhannon, WV 26201-2714 | |
| (304) 473-2250 | |
| (304) 924-5460 |
| Full Name | Denzil W Hawkinberry Ii |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology - Addiction Medicine |
| Location | 34 N Kanawha St, Buckhannon, 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 |
|---|---|---|---|
| 1376644401 | NPI | - | NPPES |
| 20554238700 | Other | WV | WORKERS COMP |
| 3810006746 | Medicaid | WV | |
| DF0767 | Other | WV | RR MEDICARE |
| 2528367 | Other | WV | OHIO MEDICAID |
| 270052997004 | Other | WV | TRICARE MAAC |
| P00407274 | Other | WV | RR MEDICARE |
| 001706469 | Other | WV | BLUE CROSS |
| 3810001133 | Medicaid | WV | |
| 001808009 | Other | WV | MSBCBS |
| 001907643 | Other | WV | MSBCBS GROUP |
| 2332177174-00 | Other | WV | OHIO WORKERS COMP |
| 27005997004 | Other | WV | TRICARE |
| 1068812 | Other | WV | BRICKSTREET |
| 205542387 | Other | WV | TRICARE |
| 205542387001 | Other | WV | TRICARE |
| P00382001 | Other | WV | RR MEDICARE |
| 0207026000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 20823 (West Virginia) | Secondary |
| 207LA0401X | Anesthesiology - Addiction Medicine | 20823 (West Virginia) | Primary |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609042266 PECOS PAC ID: 0446232987 Enrollment ID: O20040607001043 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1164653457 PECOS PAC ID: 0446232987 Enrollment ID: O20071024000166 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114277050 PECOS PAC ID: 0446232987 Enrollment ID: O20130226000610 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770917577 PECOS PAC ID: 0446232987 Enrollment ID: O20131219001230 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073944658 PECOS PAC ID: 0446232987 Enrollment ID: O20140320000490 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063808418 PECOS PAC ID: 0446232987 Enrollment ID: O20150911002252 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619348844 PECOS PAC ID: 0446232987 Enrollment ID: O20160310000180 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891241030 PECOS PAC ID: 0446232987 Enrollment ID: O20170207000826 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619464369 PECOS PAC ID: 0446232987 Enrollment ID: O20180808001012 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063048189 PECOS PAC ID: 0446232987 Enrollment ID: O20201111000338 |
| Entity Name | Community Care Of West Virginia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275271611 PECOS PAC ID: 0648189258 Enrollment ID: O20230615000337 |
| Mailing Address | Practice Location Address |
|---|---|
| Denzil W Hawkinberry Ii, MD 34 N Kanawha St, Buckhannon, WV 26201-2714 Ph: (304) 473-2250 | Denzil W Hawkinberry Ii, MD 34 N Kanawha St, Buckhannon, WV 26201-2714 Ph: (304) 473-2250 |