| Dr Panitan Yossuck, MD | |
|
1 Stadium Drive, Morgantown, WV 26506 | |
| (304) 598-4800 | |
| (304) 293-6963 |
| Full Name | Dr Panitan Yossuck |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 1 Stadium Drive, Morgantown, 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 |
|---|---|---|---|
| 1053491902 | NPI | - | NPPES |
| 1808599000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 20855 (West Virginia) | Secondary |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 20855 (West Virginia) | Primary |
| 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 |
| Entity Name | Reynolds Memorial Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518068014 PECOS PAC ID: 9830184530 Enrollment ID: O20040420000896 |
| Entity Name | University Healthcare Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659625739 PECOS PAC ID: 8325291404 Enrollment ID: O20130124000127 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Panitan Yossuck, MD Po Box 897, Morgantown, WV 26507-0897 Ph: (304) 293-7401 | Dr Panitan Yossuck, MD 1 Stadium Drive, Morgantown, WV 26506 Ph: (304) 598-4800 |
Dr. Kathryn S Moffett, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Stadium Drive, Morgantown, WV 26506 Phone: 304-598-4800 Fax: 304-598-6061 | |
Rupesh Kumar Natarajan, Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-293-4451 | |
Dr. Melissa Albert, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1000 Mon Health Medical Park Dr Ste 1202, Morgantown, WV 26505 Phone: 304-599-1975 Fax: 304-599-2705 | |
Audra Suzanne Rouster, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, 9214, Morgantown, WV 26506 Phone: 304-293-1017 | |
Arin Jennings, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6040 University Town Centre Dr, Morgantown, WV 26501 Phone: 304-598-4835 Fax: 304-285-7388 | |
Martin Edward Weisse, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4800 |