| Josiah Kenneth Lilly Iii, MD MS | |
|
4001 Virginia Ave Se, Charleston, WV 25304-1603 | |
| (304) 925-2922 | |
| (304) 926-8009 |
| Full Name | Josiah Kenneth Lilly Iii |
|---|---|
| Gender | Male |
| Speciality | Pain Medicine - Pain Medicine |
| Location | 4001 Virginia Ave Se, Charleston, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376507566 | NPI | - | NPPES |
| 0201994 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0000X | Pain Medicine - Pain Medicine | 11322 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Josiah Kenneth Lilly Iii, MD MS 4001 Virginia Ave Se, Charleston, WV 25304-1603 Ph: (304) 925-2922 | Josiah Kenneth Lilly Iii, MD MS 4001 Virginia Ave Se, Charleston, WV 25304-1603 Ph: (304) 925-2922 |
Dr. Lucas Alfonso Bracero, MD, MBA Pain Medicine Medicare: Medicare Enrolled Practice Location: 400 Court St Ste 100, Charleston, WV 25301 Phone: 304-347-6120 Fax: 304-347-6120 | |
Timothy Ray Deer, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Court St Ste 100, Charleston, WV 25301 Phone: 304-347-6120 Fax: 304-347-6142 |