| Mina Botross, DO | |
|
1464 Jefferson St N, Lewisburg, WV 24901-1380 | |
| (304) 645-3220 | |
| (844) 479-4545 |
| Full Name | Mina Botross |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1464 Jefferson St N, Lewisburg, 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 |
|---|---|---|---|
| 1083102305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 3651 (West Virginia) | Secondary |
| 207Q00000X | Family Medicine | 3651 (West Virginia) | Primary |
| Entity Name | West Virginia School Of Osteopathic Medicine Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871539296 PECOS PAC ID: 0941113427 Enrollment ID: O20031111000104 |
| Entity Name | Charleston Area Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
| Entity Name | West Virginia School Of Osteopathic Medicine Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013496991 PECOS PAC ID: 0941113427 Enrollment ID: O20210913003075 |
| Entity Name | West Virginia School Of Osteopathic Medicine Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093220303 PECOS PAC ID: 0941113427 Enrollment ID: O20210914002817 |
| Mailing Address | Practice Location Address |
|---|---|
| Mina Botross, DO 250 Saddlebrook Subdivision Rd, Lewisburg, WV 24901-9608 Ph: (201) 993-8286 | Mina Botross, DO 1464 Jefferson St N, Lewisburg, WV 24901-1380 Ph: (304) 645-3220 |
Jennifer Nicole Rose, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 844-479-4545 | |
Theresa Katherine Stepanek, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 | |
James Yi, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Jefferson St, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 304-647-1372 | |
George F Boxwell, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 304-645-4103 | |
Christopher Paul Kennedy, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 | |
Thomas F Steele, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 N Jefferson St, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 304-645-4103 | |
Zachary J Comeaux, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 844-479-4545 |