| Joseph Momen, MD | |
|
7 Chenoweth Dr, Suite A, Bridgeport, WV 26330-1887 | |
| (304) 842-5777 | |
| (304) 842-3318 |
| Full Name | Joseph Momen |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 7 Chenoweth Dr, Bridgeport, 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 |
|---|---|---|---|
| 1114937653 | NPI | - | NPPES |
| 0112151000 | Medicaid | WV | |
| 001720852 | Other | WV | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | WV11941 (West Virginia) | Primary |
| Entity Name | United Physicians Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184849200 PECOS PAC ID: 6103814017 Enrollment ID: O20040706001382 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Momen, MD Po Box 763, Morgantown, WV 26507-0763 Ph: (304) 842-5777 | Joseph Momen, MD 7 Chenoweth Dr, Suite A, Bridgeport, WV 26330-1887 Ph: (304) 842-5777 |
Jennifer Jill Momen, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11 Chenoweth Drive, Suite A, Bridgeport, WV 26330 Phone: 303-842-5777 Fax: 304-842-3318 | |
Brian Christopher Policano, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7 Chenoweth Dr, Suite A, Bridgeport, WV 26330 Phone: 304-842-5777 Fax: 304-842-3318 | |
Mrs. Karyn Lynette Molinari-fryer, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 139 Conference Center Way, Suite 113, Bridgeport, WV 26330 Phone: 304-599-8000 Fax: 304-599-8003 | |
Dr. Bradley D. Mitchell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 139 Conference Center Way Ste 113, Bridgeport, WV 26330 Phone: 304-599-8000 Fax: 304-599-8003 | |
Dr. Janet E. Cogar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 900 Lodgeville Rd, Bridgeport, WV 26330 Phone: 304-842-3311 Fax: 304-842-3313 | |
Dr. Alicia Erin Maddix, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 139 Conference Center Way Ste 113, Bridgeport, WV 26330 Phone: 304-599-8000 Fax: 304-599-8003 |