| Lance Dieter Dubberke, MD | |
|
686 S Pike St, Shinnston, WV 26431-1043 | |
| (304) 592-2100 | |
| (304) 592-2102 |
| Full Name | Lance Dieter Dubberke |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 36 Years |
| Location | 686 S Pike St, Shinnston, 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 |
|---|---|---|---|
| 1871690115 | NPI | - | NPPES |
| 0052728000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16145 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wvu Medicine Home Health United Hospital Center | Clarksburg, WV | Home health agency |
| People's Hospice, Inc | Bridgeport, WV | Hospice |
| United Hospital Center | Bridgeport, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| United Physicians Care Inc | 6103814017 | 101 |
| 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 |
|---|---|
| Lance Dieter Dubberke, MD 686 S Pike St, Ste A, Shinnston, WV 26431-1043 Ph: (304) 624-4655 | Lance Dieter Dubberke, MD 686 S Pike St, Shinnston, WV 26431-1043 Ph: (304) 592-2100 |
Dr. Madeleine Gwinn, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 686 S Pike St, Shinnston, WV 26431 Phone: 681-342-3800 | |
Dr. Kristian M Morrison, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 686 S Pike St, Shinnston, WV 26431 Phone: 304-592-2100 Fax: 304-592-2102 |