| Dr Richard Allen Douglas, MD,FACS | |
|
527 Medical Park Drive, Suite 401, Bridgeport, WV 26330 | |
| (681) 342-3500 | |
| (681) 342-3561 |
| Full Name | Dr Richard Allen Douglas |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 527 Medical Park Drive, 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 |
|---|---|---|---|
| 1710961669 | NPI | - | NPPES |
| 001709481 | Other | WV | BC/BS |
| 0088893000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 20050 (West Virginia) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Allen Douglas, MD,FACS 527 Medical Park Drive, Suite 401, Bridgeport, WV 26330 Ph: (681) 342-3500 | Dr Richard Allen Douglas, MD,FACS 527 Medical Park Drive, Suite 401, Bridgeport, WV 26330 Ph: (681) 342-3500 |
David Benjamin Cohen, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 227 Medical Park Dr Ste 103, Bridgeport, WV 26330 Phone: 681-342-3500 | |
Vincent J Miele, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 527 Medical Park Drive, Suite 401, Uhc Neurosurgery & Spine Center, Bridgeport, WV 26300 Phone: 681-342-3500 Fax: 681-342-3561 | |
Dr. Bill D. Underwood, M.D., PH.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 227 Medical Park Dr Ste 103, Bridgeport, WV 26330 Phone: 681-342-3500 Fax: 681-342-3561 | |
Mary Anne Varner, APRN Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 227 Medical Park Drive, Suite 103, Bridgeport, WV 26330 Phone: 681-342-3513 |