Dr Philip Anthony Basala, DO is a medicare enrolled "Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery" physician in Keyser, West Virginia. His current practice location is
Potomac Valley Hospital, 100 Pin Oak Lane, Keyser, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 597-3510.
Dr Philip Anthony Basala is licensed to practice in West Virginia (license number 1245) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1558376137.
Physician's Profile
| Full Name | Dr Philip Anthony Basala |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery |
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| Location | Potomac Valley Hospital, Keyser, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1558376137
- Provider Enumeration Date: 07/30/2006
- Last Update Date: 04/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 7517035900
- Enrollment ID: I20081013000357
Medical Identifiers
Medical identifiers for Dr Philip Anthony Basala such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558376137 | NPI | - | NPPES |
| 0012925630006 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207VF0040X | Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery | H0099654 (Maryland) | Secondary |
| 207VF0040X | Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery | 1245 (West Virginia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Philip Anthony Basala allows following entities to bill medicare on his behalf.
| Entity Name | Richard M Kastelic Md & Assoc Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821042417
PECOS PAC ID: 8022094150
Enrollment ID: O20040628001565 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Philip Anthony Basala is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Philip Anthony Basala, DO
328 Sunny Meadows Ln,
Swanton, MD 21561-2677
Ph: (412) 848-2631 | Dr Philip Anthony Basala, DO
Potomac Valley Hospital, 100 Pin Oak Lane,
Keyser, WV 26726
Ph: (304) 597-3510 |
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