| Jonathan B Dale, MD | |
|
400 Fairview Heights Rd, Summersville, WV 26651-9308 | |
| (304) 872-2891 | |
| (304) 872-6854 |
| Full Name | Jonathan B Dale |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 400 Fairview Heights Rd, Summersville, 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 |
|---|---|---|---|
| 1760481014 | NPI | - | NPPES |
| 3810014181 | Medicaid | WV | |
| DA7395861 | Other | WV | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23453 (West Virginia) | Secondary |
| 207P00000X | Emergency Medicine | 23453 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Summersville Regional Medical Center | Summersville, WV | Hospital |
| Summers County Arh Hospital | Hinton, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summers Emergency Physicians Llc | 9133216997 | 6 |
| West Virginia Health Care Cooperative Inc | 9830431030 | 51 |
| General Conference Corp Of Sda | 6608777628 | 37 |
| Entity Name | Summers Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225243702 PECOS PAC ID: 9133216997 Enrollment ID: O20071026000295 |
| 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 |
| Entity Name | Richbend Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093438830 PECOS PAC ID: 2163890773 Enrollment ID: O20250422003383 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan B Dale, MD 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Jonathan B Dale, MD 400 Fairview Heights Rd, Summersville, WV 26651-9308 Ph: (304) 872-2891 |
Dr. Stanley Thomas Morris, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Fairview Heights Rd, Summersville, WV 26651 Phone: 304-872-8427 | |
Dr. Robert Fleer, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Fairview Heights Rd, Summersville, WV 26651 Phone: 304-872-2891 |