| Gerardo C Lopez, MD | |
|
527 Medical Park Dr Ste 304, Bridgeport, WV 26330 | |
| (304) 933-3830 | |
| (304) 933-3837 |
| Full Name | Gerardo C Lopez |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 34 Years |
| Location | 527 Medical Park Dr Ste 304, 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 |
|---|---|---|---|
| 1174575484 | NPI | - | NPPES |
| 0081763000 | Medicaid | WV | |
| 001720850 | Other | WV | BLUE CROSS BLUE SHEILD |
| WV17559A | Other | WV | HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 17559 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| United Hospital Center | Bridgeport, WV | Hospital |
| West Virginia University Hospitals | Morgantown, WV | Hospital |
| St Joseph's Hospital | Buckhannon, WV | Hospital |
| Braxton County Memorial Hospital, Inc | Gassaway, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| United Hospital Center Inc | 8123936010 | 237 |
| 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 |
| Entity Name | Webster County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699778704 PECOS PAC ID: 1153230099 Enrollment ID: O20031219000545 |
| Mailing Address | Practice Location Address |
|---|---|
| Gerardo C Lopez, MD 527 Medical Park Dr Ste 304, Bridgeport, WV 26330-9010 Ph: (304) 933-3830 | Gerardo C Lopez, MD 527 Medical Park Dr Ste 304, Bridgeport, WV 26330 Ph: (304) 933-3830 |
Dr. Michael T. Angotti, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 527 Medical Park Dr, Suite 307, Bridgeport, WV 26330 Phone: 304-933-3332 Fax: 304-933-3318 | |
Brandon Shiflett, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1000 | |
Nabeel Ghabra, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 527 Medical Park Dr Ste 402, Bridgeport, WV 26330 Phone: 681-342-3690 Fax: 681-342-3695 | |
Salma Khatoon, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1852 | |
Dr. Susan W. Miller, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 140 W Main St, Bridgeport, WV 26330 Phone: 304-842-2206 Fax: 304-842-2580 | |
Mrs. Kimberly J Fairley, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 527 Medical Park Dr Ste 402, Bridgeport, WV 26330 Phone: 681-342-3690 | |
Mazen Nashed, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 527 Medical Park Drive, Suite 204, Bridgeport, WV 26330 Phone: 304-933-3800 Fax: 304-933-3815 |