| Dr Eric J Sacknoff, MD | |
| 2900 1st Ave Ste 230, Huntington, WV 25702-1241 | |
| (304) 525-3711 | |
| (304) 525-2748 | 
| Full Name | Dr Eric J Sacknoff | 
|---|---|
| Gender | Male | 
| Speciality | Urology | 
| Location | 2900 1st Ave Ste 230, Huntington, 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 | 
|---|---|---|---|
| 1295734598 | NPI | - | NPPES | 
| 010281067 | Medicaid | VA | |
| 463937 | Other | VA | SOUTHERN HEALTH | 
| 199795 | Other | VA | ANTHEM | 
| P01081069 | Other | VA | RAILROAD MEDICARE | 
| 1295734598 | Medicaid | VA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208800000X | Urology | MD-46056 (Iowa) | Secondary | 
| 208800000X | Urology | 0101239642 (Virginia) | Primary | 
| Entity Name | St. Mary's Medical Management, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1922155217 PECOS PAC ID: 5890897151 Enrollment ID: O20070216000690 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Eric J Sacknoff, MD Po Box 4190, Barboursville, WV 25504-4190 Ph: (304) 908-9202 | Dr Eric J Sacknoff, MD 2900 1st Ave Ste 230, Huntington, WV 25702-1241 Ph: (304) 525-3711 | 
| Amjad H. Alwaal, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1115 20th St Ste 107, Huntington, WV 25703 Phone: 304-691-1900 Fax: 304-691-1929 | |
| George R Beneke, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1540 Spring Valley Dr, Huntington, WV 25704 Phone: 304-429-6741 Fax: 304-429-0365 | |
| Dr. Margaret Jeanne Vereb, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2900 1st Ave Ste 230, Huntington, WV 25702 Phone: 304-525-3711 Fax: 304-525-2748 | |
| Dr. Roger Dale Robertson Ii, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 1115 20th St Ste 107, Huntington, WV 25703 Phone: 304-691-1900 | |
| Dr. Rajendra Kumar Jain, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2828 1st Ave, Ste 204 Rajenda K Jain Md, Huntington, WV 25702 Phone: 304-525-7716 Fax: 304-525-7717 | |
| Mark Drew Thomas, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1115 20th Street, Suite 101, Huntington, WV 25703 Phone: 304-399-4121 Fax: 304-399-4126 |