| Dr Joseph J Fazalare, MD | |
|
527 Medical Park Dr Ste 400, Bridgeport, WV 26330-9010 | |
| (681) 342-3500 | |
| (681) 342-3507 |
| Full Name | Dr Joseph J Fazalare |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 21 Years |
| Location | 527 Medical Park Dr Ste 400, Bridgeport, 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 |
|---|---|---|---|
| 1336307941 | NPI | - | NPPES |
| 4293261 | Other | WV | MEDICARE PTAN |
| 3810018178 | Other | WV | MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 24001 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| United Hospital Center | Bridgeport, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| United Hospital Center Inc | 8123936010 | 237 |
| Entity Name | United Hospital Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760965586 PECOS PAC ID: 8123936010 Enrollment ID: O20031212000802 |
| Entity Name | Braxton County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356304547 PECOS PAC ID: 5193717759 Enrollment ID: O20040401001560 |
| Entity Name | West Virginia Health Care Cooperative Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417415324 PECOS PAC ID: 9830431030 Enrollment ID: O20190508000440 |
| Entity Name | West Virginia Health Care Cooperative Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1043778319 PECOS PAC ID: 9830431030 Enrollment ID: O20190531001788 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph J Fazalare, MD 527 Medical Park Dr Ste 400, Bridgeport, WV 26330-9010 Ph: (681) 342-3500 | Dr Joseph J Fazalare, MD 527 Medical Park Dr Ste 400, Bridgeport, WV 26330-9010 Ph: (681) 342-3500 |
William John Dahl, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 227 Medical Park Dr Ste 101, Bridgeport, WV 26330 Phone: 681-342-3500 | |
David L Waxman, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 527 Medical Park Dr Ste 400, Bridgeport, WV 26330 Phone: 681-342-3550 Fax: 681-342-3507 | |
Chad Harrison Poage, D.O. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 47 Highland Ridge Rd, Bridgeport, WV 26330 Phone: 304-661-3167 | |
Christopher Don Courtney, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 527 Medical Park Dr Ste 400, Bridgeport, WV 26330 Phone: 681-342-3550 Fax: 681-342-3507 |