| Joe M Pack, DO | |
|
Jackson River Orthopedics, 1 Arh Lane, Ste 102, Low Moor, VA 24457 | |
| (540) 862-6777 | |
| (540) 863-9167 |
| Full Name | Joe M Pack |
|---|---|
| Gender | Male |
| Speciality | Osteopathic Manipulative Medicine |
| Experience | 27 Years |
| Location | Jackson River Orthopedics, Low Moor, 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 |
|---|---|---|---|
| 1679578751 | NPI | - | NPPES |
| 200026 | Other | LUNG | |
| 541839718104 | Other | VA | BS MOUNTAIN STATE |
| 465499 | Other | WV | ANTHEM |
| 541839718 | Other | C&O | |
| 7194496 | Other | AETNA | |
| 213824 | Other | CARELINK | |
| 3003781000 | Medicaid | WV | |
| 213824 | Other | SOUTHERN HEALTH | |
| 5431529 | Other | CCN | |
| 465498 | Other | VA | ANTHEM |
| 006409806 | Medicaid | VA | |
| 54183971800 | Other | WV | WV WORKERS COMPENSATION |
| 541839718103 | Other | WV | BS MOUNTAIN STATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 0102201406 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Home Care Plus, Incorporated | Lewisburg, WV | Home health agency |
| Lewisgale Hospital Alleghany | Low moor, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lewis Gale Physicians Llc | 6507886231 | 191 |
| H2 Rehabilitation Services Of Virginia, Llc | 1658280128 | 50 |
| Entity Name | Lewis Gale Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902977705 PECOS PAC ID: 6507886231 Enrollment ID: O20051128000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Joe M Pack, DO Po Box 457, 5 E Alvon Road, Suite 7, White Sulphur Springs, WV 24986-2373 Ph: (304) 536-5030 | Joe M Pack, DO Jackson River Orthopedics, 1 Arh Lane, Ste 102, Low Moor, VA 24457 Ph: (540) 862-6777 |
Clare D Weidman, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: Jackson River Orthopedics, 1 Arh Lane, Ste 102, Low Moor, VA 24457 Phone: 540-862-6777 Fax: 540-863-9167 |