| Dr Kenneth A Veselicky, MD | |
|
101 Stadium Dr, Morgantown, WV 26506-7911 | |
| (304) 598-4000 | |
| (304) 293-6963 |
| Full Name | Dr Kenneth A Veselicky |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 28 Years |
| Location | 101 Stadium Dr, Morgantown, 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 |
|---|---|---|---|
| 1891754164 | NPI | - | NPPES |
| 1008302580001 | Medicaid | PA | |
| 7615065 | Medicaid | NC | |
| 1809613000 | Medicaid | WV | |
| 010155321 | Medicaid | VA | |
| 402620900 | Medicaid | MD | |
| 64069263 | Medicaid | KY | |
| P00345382 | Other | WV | RAILROAD MEDICARE |
| 2418315 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085N0904X | Radiology - Nuclear Radiology | 20302 (West Virginia) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 20302 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Virginia University Hospitals | Morgantown, WV | Hospital |
| Jefferson Medical Center | Ranson, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Virginia University Medical Corporation | 1052224565 | 1722 |
| Entity Name | West Virginia University Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth A Veselicky, MD Po Box 897, Morgantown, WV 26507-0897 Ph: (304) 293-7401 | Dr Kenneth A Veselicky, MD 101 Stadium Dr, Morgantown, WV 26506-7911 Ph: (304) 598-4000 |
Mike Lee, MD, MS, BS Radiology Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4051 | |
Robert Grammer, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4000 | |
Brian Markovich, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-293-3091 | |
Mr. Ashwin Pramod Deshmukh, MBBS Radiology Medicare: Not Enrolled in Medicare Practice Location: Po Box 9235, Morgantown, WV 26506 Phone: 304-293-3091 | |
Justin Addicks, Radiology Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 855-988-2273 | |
Mithra Kimyai-asadi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Stadium Dr, Morgantown, WV 26506 Phone: 304-293-2463 | |
Dr. Gary D Marano, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Stadium Dr, Morgantown, WV 26506 Phone: 304-598-4000 Fax: 304-293-6963 |