| Dr Ryan Livengood, MD | |
|
327 Medical Park Dr, Bridgeport, WV 26330-9006 | |
| (681) 342-1523 | |
| (681) 342-1548 |
| Full Name | Dr Ryan Livengood |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 21 Years |
| Location | 327 Medical Park Dr, Bridgeport, 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 |
|---|---|---|---|
| 1073710802 | NPI | - | NPPES |
| 3810014842 | Other | WV | MEDICAID |
| WV3496A | Other | WV | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZH0000X | Pathology - Hematology | 22497 (West Virginia) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 22497 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Berkeley Medical Center | Martinsburg, 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 |
| Entity Name | Jefferson Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891722377 PECOS PAC ID: 0446151989 Enrollment ID: O20040116000736 |
| Entity Name | City Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942503164 PECOS PAC ID: 3375444524 Enrollment ID: O20040120000306 |
| 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 Ryan Livengood, MD 327 Medical Park Dr, Bridgeport, WV 26330-9006 Ph: (681) 342-1523 | Dr Ryan Livengood, MD 327 Medical Park Dr, Bridgeport, WV 26330-9006 Ph: (681) 342-1523 |
Gerald Wedemeyer, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Drive, Bridgeport, WV 26330 Phone: 681-342-1525 Fax: 681-342-3125 | |
Dr. Brock Joseph Oliverio, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1610 Fax: 681-342-1626 | |
Matthew Scott Szarko, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1000 | |
Numbereye Pre Fubara Numbere, MBBS Pathology Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1000 |