| Kristine L Midcap, DO | |
| 601 Colliers Way, Weirton, WV 26062-5014 | |
| (330) 493-4443 | |
| (330) 493-8677 | 
| Full Name | Kristine L Midcap | 
|---|---|
| Gender | Female | 
| Speciality | Emergency Medicine | 
| Location | 601 Colliers Way, Weirton, 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 | 
|---|---|---|---|
| 1851493019 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2061 (West Virginia) | Primary | 
| Entity Name | Greenbrier Emergency Services, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1568401461 PECOS PAC ID: 2668377359 Enrollment ID: O20031205000043 | 
| Entity Name | Valley Hospice Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1730763822 PECOS PAC ID: 4183637069 Enrollment ID: O20210728002632 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kristine L Midcap, DO 4535 Dressler Rd Nw, Canton, OH 44718-2545 Ph: (330) 493-4443 | Kristine L Midcap, DO 601 Colliers Way, Weirton, WV 26062-5014 Ph: (330) 493-4443 | 
| Dr. Christian Bosquet, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 917-346-5756 | |
| Timothy G Lane, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 330-493-4443 Fax: 330-493-8677 | |
| Dr. Joshua Tad Lucas, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 330-493-4443 | |
| Mitchell Fuscardo, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 330-493-4443 | |
| Todd Fijewski, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 330-493-4443 Fax: 330-493-8677 | |
| Dr. Daryl Trusty, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 304-797-6095 Fax: 304-797-6090 | |
| Kelly B Close, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 330-493-4443 Fax: 330-493-8677 |