| Mr John A Burgess V, | |
|
215 S Louisiana Ave, Martinsburg, WV 25401 | |
| (304) 263-3335 | |
| (304) 267-5557 |
| Full Name | Mr John A Burgess V |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 215 S Louisiana Ave, Martinsburg, 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 |
|---|---|---|---|
| 1447273560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 1000 (West Virginia) | Primary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 1000 (West Virginia) | Secondary |
| Entity Name | Shenandoah Preventive Medicine Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518089366 PECOS PAC ID: 2062796600 Enrollment ID: O20170228000552 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John A Burgess V, 215 S Louisiana Ave, Martinsburg, WV 25401 Ph: (304) 263-3335 | Mr John A Burgess V, 215 S Louisiana Ave, Martinsburg, WV 25401 Ph: (304) 263-3335 |
Robert Salade Strauch, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2000 Professional Court, Suite A, Martinsburg, WV 25401 Phone: 304-267-6119 Fax: 304-264-9105 | |
Omar Nadra, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2000 Foundation Way Ste 3100, Martinsburg, WV 25401 Phone: 304-350-3273 | |
Jason Turner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2000 Foundation Way Ste 2200, Martinsburg, WV 25401 Phone: 304-596-6900 Fax: 304-596-6902 | |
Dr. James Carrier, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 120 Campus Dr Ste 221, Martinsburg, WV 25404 Phone: 681-247-1280 Fax: 681-247-1281 | |
Christopher Kelly Vincent, M.D. PH.D. Surgery Medicare: Medicare Enrolled Practice Location: 510 Butler Ave, Department Of Surgery, Martinsburg, WV 25405 Phone: 304-263-0811 | |
Dr. Thomas A Baldwin, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 510 Butler Ave, Surgical Service, Martinsburg, WV 25401 Phone: 304-263-0811 |