| Edward W Kiggundu, MD | |
|
2000 Foundation Way, Suite 1100, Martinsburg, WV 25401-9003 | |
| (304) 262-8800 | |
| (304) 262-8203 |
| Full Name | Edward W Kiggundu |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 30 Years |
| Location | 2000 Foundation Way, Martinsburg, 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 |
|---|---|---|---|
| 1316933492 | NPI | - | NPPES |
| 7960384 | Other | WV | AETNA PROVIDER NUMBER |
| 61647309 | Other | MD | CARE FIRST BCBS PROV. # |
| 5990540 | Other | WV | CIGNA PROVIDER NUMBER |
| 01050264 | Medicaid | VI | |
| 5129591 | Other | WV | MAMSI PROVIDER NUMBER |
| 1000034742 | Medicaid | DE | |
| 3810004107 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | D0059245 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Berkeley Medical Center | Martinsburg, WV | Hospital |
| Jefferson Medical Center | Ranson, WV | Hospital |
| Winchester Medical Center | Winchester, VA | 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 | Kiggundu Radiation Therapy, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154301539 PECOS PAC ID: 0244138428 Enrollment ID: O20050907000896 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward W Kiggundu, MD 2234 Colonial Blvd, Fort Myers, FL 33907-1412 Ph: (239) 931-7342 | Edward W Kiggundu, MD 2000 Foundation Way, Suite 1100, Martinsburg, WV 25401-9003 Ph: (304) 262-8800 |
Dimitri Misailidis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Foxcroft Ave, Suite 202b, Martinsburg, WV 25401 Phone: 304-263-4967 Fax: 304-267-5461 | |
Dr. David Long Lawrence, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 510 Butler Ave, Imaging Service, Martinsburg, WV 25401 Phone: 304-263-0811 | |
John Louis Blanco, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Foxcroft Ave, Suite 202b, Martinsburg, WV 25401 Phone: 304-263-4967 Fax: 304-267-0974 | |
Dr. Peter Markovic, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 510 Butler Ave, Imaging Service, Martinsburg, WV 25401 Phone: 304-263-0811 | |
Dr. Vivek Padha, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 Hospital Dr, Martinsburg, WV 25401 Phone: 304-596-6828 Fax: 304-596-5112 | |
Hojoon Jung, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 300 Foxcroft Ave, Suite 202b, Martinsburg, WV 25401 Phone: 304-263-4967 Fax: 304-267-5461 |