| James J Baek, MD | |
|
4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | |
| (304) 766-3600 | |
| (304) 343-4626 |
| Full Name | James J Baek |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 35 Years |
| Location | 4605 Maccorkle Ave Sw, South Charleston, 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 |
|---|---|---|---|
| 1851393045 | NPI | - | NPPES |
| 000023074 | Other | WV | BLUE CROSS |
| 0121594000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 18837 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tuality Community Hospital | Hillsboro, OR | Hospital |
| Ohsu Hospital And Clinics | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tuality Medical Group Llc | 7416173414 | 255 |
| Entity Name | Tuality Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073929782 PECOS PAC ID: 7416173414 Enrollment ID: O20140729000238 |
| Mailing Address | Practice Location Address |
|---|---|
| James J Baek, MD Po Box 840, Lima, OH 45802-0840 Ph: (877) 574-7116 | James J Baek, MD 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 Ph: (304) 766-3600 |
Robert Smith, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 416 Division St, South Charleston, WV 25309 Phone: 304-766-7141 Fax: 304-766-7143 | |
Dr. Patrick E. Hill, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600 Fax: 304-343-4626 | |
David Abramowitz, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600 Fax: 304-343-4626 | |
Lyubov Girshovich, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-7668 | |
Jose Paras Barba, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3668 Fax: 304-766-5654 | |
Tara Melgary Hansen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 401 Division St, South Charleston, WV 25309 Phone: 304-766-3413 Fax: 304-766-5654 | |
Alberta Jane Maloof, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600 Fax: 304-343-4626 |