| Dr David C Maki, DO | |
|
202 Maplewood Ave, Ronceverte, WV 24970-1334 | |
| (304) 645-4043 | |
| (304) 645-4713 |
| Full Name | Dr David C Maki |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 202 Maplewood Ave, Ronceverte, 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 |
|---|---|---|---|
| 1407931637 | NPI | - | NPPES |
| 010089158 | Other | WV | FEDERAL WKRS COMP/BL |
| 1058353 | Other | WV | WV WORKERS' COMP |
| 462501 | Other | ANTHEM BCBS | |
| 300126636 | Other | WV | RAILROAD MCARE |
| 55073865301 | Other | CHAMPUS | |
| 288546 | Other | WV | MAMSI |
| 0118716000 | Medicaid | WV | |
| 000683460 | Other | WV | MTN STATE BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 1286 (West Virginia) | Primary |
| Entity Name | Greenbrier Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043258783 PECOS PAC ID: 0345298915 Enrollment ID: O20050114000022 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David C Maki, DO Po Box 671, Lewisburg, WV 24901-0671 Ph: (304) 645-4043 | Dr David C Maki, DO 202 Maplewood Ave, Ronceverte, WV 24970-1334 Ph: (304) 645-4043 |
Dr. Colin A Rose, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 202 Maplewood Ave, Ronceverte, WV 24970 Phone: 304-645-4043 Fax: 304-645-4713 | |
Heather J Rose, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 202 Maplewood Ave, Ronceverte, WV 24970 Phone: 304-497-2500 Fax: 304-497-2501 |