| Michael G Wenkstern, MD | |
|
1100 E Church St, Martinsville, VA 24112-3225 | |
| (276) 638-2354 | |
| (276) 638-3398 |
| Full Name | Michael G Wenkstern |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Sports Medicine |
| Location | 1100 E Church St, Martinsville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457332793 | NPI | - | NPPES |
| 065845 | Other | VA | BC |
| 5901472 | Medicaid | NC | |
| 006443257 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 0101035460 (Virginia) | Primary |
| Entity Name | Martinsville Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255380887 PECOS PAC ID: 0143233346 Enrollment ID: O20060710000176 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael G Wenkstern, MD 1100 E Church St, Martinsville, VA 24112-3225 Ph: (276) 638-2354 | Michael G Wenkstern, MD 1100 E Church St, Martinsville, VA 24112-3225 Ph: (276) 638-2354 |
Dr. Robert E Cassidy, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 315 Hospital Dr, Suite 105, Martinsville, VA 24112 Phone: 276-666-7723 | |
John Henry Velyvis, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 E Church St, Martinsville, VA 24112 Phone: 276-638-2354 Fax: 276-638-3398 |