| Jeffrey Rodebaugh, MD | |
|
74 Avenue B, Richwood, WV 26261-1207 | |
| (304) 846-4980 | |
| (304) 846-4984 |
| Full Name | Jeffrey Rodebaugh |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 18 Years |
| Location | 74 Avenue B, Richwood, 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 |
|---|---|---|---|
| 1558560052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24042 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Summersville Regional Medical Center | Summersville, WV | Hospital |
| Braxton County Memorial Hospital, Inc | Gassaway, WV | Hospital |
| West Virginia University Hospitals | Morgantown, WV | Hospital |
| United Hospital Center | Bridgeport, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Virginia Health Care Cooperative Inc | 9830431030 | 51 |
| Entity Name | Braxton County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356304547 PECOS PAC ID: 5193717759 Enrollment ID: O20040401001560 |
| Entity Name | Braxton County Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1356304547 PECOS PAC ID: 5193717759 Enrollment ID: O20070427000449 |
| Entity Name | West Virginia Health Care Cooperative Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417415324 PECOS PAC ID: 9830431030 Enrollment ID: O20190508000440 |
| Entity Name | West Virginia Health Care Cooperative Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1043778319 PECOS PAC ID: 9830431030 Enrollment ID: O20190531001788 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Rodebaugh, MD 74 Avenue B, Richwood, WV 26261 Ph: (304) 846-4980 | Jeffrey Rodebaugh, MD 74 Avenue B, Richwood, WV 26261-1207 Ph: (304) 846-4980 |
Dr. Clemente Campos Diaz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 75 Avenue B, Richwood, WV 26261 Phone: 304-846-2573 Fax: 304-846-9562 |