| Dr Stephanus Johannes Serfontein, MD | |
|
2418 Jefferson Ave, Pt Pleasant, WV 25550-1528 | |
| (304) 675-6835 | |
| (304) 675-6849 |
| Full Name | Dr Stephanus Johannes Serfontein |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 39 Years |
| Location | 2418 Jefferson Ave, Pt Pleasant, 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 |
|---|---|---|---|
| 1154420990 | NPI | - | NPPES |
| 2548390 | Medicaid | OH | |
| 3810001774 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 21778 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Charleston Area Medical Center Inc | 3375441637 | 859 |
| Entity Name | Charleston Area Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephanus Johannes Serfontein, MD 3200 Maccorkle Seave B16, Charleston, WV 25304-1227 Ph: (304) 388-5848 | Dr Stephanus Johannes Serfontein, MD 2418 Jefferson Ave, Pt Pleasant, WV 25550-1528 Ph: (304) 675-6835 |
Ismael Ortego Jamora, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2520 Valley Dr, Suite # 116, Pt Pleasant, WV 25550 Phone: 304-675-5188 Fax: 304-675-3811 | |
Harold Edward Ayers Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2520 Valley Dr, Suite #012, Pt Pleasant, WV 25550 Phone: 304-675-6015 Fax: 304-675-5893 |