| Mousa Ghassan Dajjani, MD | |
|
200 Hospital Dr, Spencer, WV 25276-1050 | |
| (304) 927-6822 | |
| (304) 927-6814 |
| Full Name | Mousa Ghassan Dajjani |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 200 Hospital Dr, Spencer, 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 |
|---|---|---|---|
| 1336723758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 33548 (West Virginia) | Primary |
| Entity Name | Hospital Development Co. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790745677 PECOS PAC ID: 4183527476 Enrollment ID: O20040406000528 |
| Mailing Address | Practice Location Address |
|---|---|
| Mousa Ghassan Dajjani, MD 200 Hospital Dr, Spencer, WV 25276-1050 Ph: (304) 927-6822 | Mousa Ghassan Dajjani, MD 200 Hospital Dr, Spencer, WV 25276-1050 Ph: (304) 927-6822 |
Dr. Virginia Elizabeth Hunter, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Hospital Dr, Spencer, WV 25276 Phone: 304-927-6822 | |
Precilla T Famularcano, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 141 Main Street, Spencer, WV 25276 Phone: 304-927-5262 Fax: 304-927-0379 | |
Maria L Kessell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Hospital Dr, Spencer, WV 25276 Phone: 304-927-6822 Fax: 304-927-6807 | |
Dr. Grant Stephen Parkins, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Hospital Dr, Spencer, WV 25276 Phone: 304-927-6209 Fax: 304-927-6837 | |
Kenneth J. Seen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Hospital Dr, Spencer, WV 25276 Phone: 304-927-6822 Fax: 304-927-6393 | |
Alexandre Desouza, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Hospital Dr, Spencer, WV 25276 Phone: 304-927-6844 Fax: 304-927-6807 |