| Dr Samuel Pilla, MD | |
|
100 Pin Oak Ln, Keyser, WV 26726-5908 | |
| (304) 597-3500 | |
| (304) 597-3513 |
| Full Name | Dr Samuel Pilla |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 7 Years |
| Location | 100 Pin Oak Ln, Keyser, 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 |
|---|---|---|---|
| 1285261081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 32765 (West Virginia) | Primary |
| 207Q00000X | Family Medicine | 32765 (West Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Potomac Valley Hospital Of W Va, Inc | Keyser, WV | Hospital |
| St Joseph's Hospital Of Buckhannon, Inc | Buckhannon, WV | Hospital |
| Braxton County Memorial Hospital, Inc | Gassaway, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Joseph's Hospital Of Buckhannon Inc | 6709828163 | 98 |
| Braxton County Memorial Hospital | 5193717759 | 46 |
| Potomac Valley Hospital Of W Va , Inc | 8123917788 | 90 |
| Entity Name | Potomac Valley Hospital of W VA , Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316054919 PECOS PAC ID: 8123917788 Enrollment ID: O20040311001344 |
| Entity Name | Braxton County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356304547 PECOS PAC ID: 5193717759 Enrollment ID: O20040401001560 |
| Entity Name | St Joseph's Hospital of Buckhannon Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124005061 PECOS PAC ID: 6709828163 Enrollment ID: O20050525000839 |
| Entity Name | Potomac Valley Hospital of W VA , Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1912979873 PECOS PAC ID: 8123917788 Enrollment ID: O20061104000290 |
| Entity Name | Braxton County Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1356304547 PECOS PAC ID: 5193717759 Enrollment ID: O20070427000449 |
| Entity Name | Wetzel County Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518590033 PECOS PAC ID: 4284065400 Enrollment ID: O20200520000593 |
| Entity Name | St Joseph's Hospital of Buckhannon Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1124005061 PECOS PAC ID: 6709828163 Enrollment ID: O20230204000431 |
| Entity Name | Grant Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013603919 PECOS PAC ID: 4183082712 Enrollment ID: O20230614001133 |
| Entity Name | Grant Memorial Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1013603919 PECOS PAC ID: 4183082712 Enrollment ID: O20231005003059 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel Pilla, MD 100 Pin Oak Ln, Keyser, WV 26726-5908 Ph: (304) 597-3500 | Dr Samuel Pilla, MD 100 Pin Oak Ln, Keyser, WV 26726-5908 Ph: (304) 597-3500 |
Jeffrey Trent Cook, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Route 2 Box 139e, Keyser, WV 26726 Phone: 304-726-4860 |
Dr. Kenneth David Lefler, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 167 S Mineral St, Potomac Valley Hospital Ed, Keyser, WV 26726 Phone: 304-597-1134 Fax: 304-597-1112 |