| James David Scott, DO | |
|
176 Medical Center Dr, Rainelle, WV 25962-1064 | |
| (304) 438-6188 | |
| (304) 438-6819 |
| Full Name | James David Scott |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 176 Medical Center Dr, Rainelle, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326071184 | NPI | - | NPPES |
| 453333 | Other | ANTHEM | |
| 11159994 | Other | CAQH ID # | |
| 55-0779928 | Other | FEIN | |
| 5630372000 | Medicaid | WV | |
| 1722722 | Other | WV | MTN STATE BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 102050207 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | 1725 (West Virginia) | Primary |
| Entity Name | Rainelle Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1093883324 PECOS PAC ID: 7416861810 Enrollment ID: O20040310000112 |
| Entity Name | Rainelle Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528417946 PECOS PAC ID: 7416861810 Enrollment ID: O20170327001135 |
| Entity Name | Rainelle Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093165722 PECOS PAC ID: 7416861810 Enrollment ID: O20180802003553 |
| Entity Name | Rainelle Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497244412 PECOS PAC ID: 7416861810 Enrollment ID: O20190212003197 |
| Entity Name | Rainelle Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952815268 PECOS PAC ID: 7416861810 Enrollment ID: O20190524000194 |
| Entity Name | Rainelle Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285303156 PECOS PAC ID: 7416861810 Enrollment ID: O20220817000906 |
| Entity Name | Rainelle Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265101273 PECOS PAC ID: 7416861810 Enrollment ID: O20220817001443 |
| Entity Name | Rainelle Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679223390 PECOS PAC ID: 7416861810 Enrollment ID: O20230130000485 |
| Mailing Address | Practice Location Address |
|---|---|
| James David Scott, DO 176 Medical Center Dr, Rainelle, WV 25962-1064 Ph: (304) 438-6188 | James David Scott, DO 176 Medical Center Dr, Rainelle, WV 25962-1064 Ph: (304) 438-6188 |
Dr. Ashley Marie Fritzius, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 176 Medical Center Dr, Rainelle, WV 25962 Phone: 304-438-6188 Fax: 304-438-6819 | |
Dr. Lisa Marie Kessler, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 645 Kanawha Ave, Rainelle, WV 25962 Phone: 304-438-6188 Fax: 304-438-6819 | |
Robert Eugene Olexo, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 176 Medical Center Dr, Rainelle, WV 25962 Phone: 304-438-6188 Fax: 304-438-6819 | |
David P Allen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 Main St, Ste A, Rainelle, WV 25962 Phone: 304-438-8561 Fax: 304-438-6754 | |
Pamela S Butcher, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 645 Kanawha Ave, Rainelle, WV 25962 Phone: 304-438-6188 Fax: 304-438-6819 | |
Charles Robert Burdette Jr., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1515 Snowden Rd, Rainelle, WV 25962 Phone: 304-438-5614 |