| Dr Luis Horacio Quiroga, MD, MPH | |
|
327 Medical Park Dr, Bridgeport, WV 26330-9006 | |
| (681) 342-1000 | |
| Not Available |
| Full Name | Dr Luis Horacio Quiroga |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 327 Medical Park Dr, Bridgeport, 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 |
|---|---|---|---|
| 1013205731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 35505 (West Virginia) | Secondary |
| 208200000X | Plastic Surgery | 481008 (Pennsylvania) | Primary |
| Entity Name | Northwest Hospital Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508961988 PECOS PAC ID: 6204739352 Enrollment ID: O20040128000328 |
| Entity Name | Skilled Facility Health Care Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104018423 PECOS PAC ID: 9032299144 Enrollment ID: O20180129000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Luis Horacio Quiroga, MD, MPH 327 Medical Park Dr, Bridgeport, WV 26330-9006 Ph: (681) 342-3190 | Dr Luis Horacio Quiroga, MD, MPH 327 Medical Park Dr, Bridgeport, WV 26330-9006 Ph: (681) 342-1000 |
Dr. Thomas James Kennedy Iii, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 527 Medical Park Dr, Suite 203, Bridgeport, WV 26330 Phone: 681-342-3190 | |
Dr. Ronald William Luethke, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 527 Medical Park Dr Ste 203, Bridgeport, WV 26330 Phone: 681-342-3190 Fax: 681-342-3195 |