| Keith A Poole, DO | |
|
55741 National Road, Bridgeport, OH 43912 | |
| (740) 635-4572 | |
| (740) 635-4575 |
| Full Name | Keith A Poole |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 55741 National Road, Bridgeport, Ohio |
| 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 |
|---|---|---|---|
| 1487609558 | NPI | - | NPPES |
| 1841034000 | Medicaid | WV | |
| 2345144 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1840 (West Virginia) | Secondary |
| 207Q00000X | Family Medicine | 34.007929 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Stonerise At Home | Saint clairsville, OH | Home health agency |
| Visiting Nursing Services Of Wheeling Hospital-bel | Bellaire, OH | Home health agency |
| Wheeling Hospital | Wheeling, WV | Hospital |
| Harrison Community Hospital | Cadiz, OH | Hospital |
| Wetzel County Hospital | New martinsville, WV | Hospital |
| Reynolds Memorial Hospital | Glen dale, WV | Hospital |
| Barnesville Hospital Association, Inc | Barnesville, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wheeling Hospital Inc | 5799689493 | 432 |
| Wheeling Hospital Inc | 5799689493 | 432 |
| Entity Name | Wheeling Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548923923 PECOS PAC ID: 5799689493 Enrollment ID: O20031124000706 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith A Poole, DO 51339 National Rd, Saint Clairsville, OH 43950-9119 Ph: (740) 635-4572 | Keith A Poole, DO 55741 National Road, Bridgeport, OH 43912 Ph: (740) 635-4572 |
Fausto J Lazo, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 55741 National Rd, Bridgeport, OH 43912 Phone: 740-635-4572 Fax: 740-635-4575 |