| Pamela Martin Phillips, MD | |
|
1120 Kanawha Blvd E, Charleston, WV 25301-2400 | |
| (304) 344-3457 | |
| (304) 344-3480 |
| Full Name | Pamela Martin Phillips |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 33 Years |
| Location | 1120 Kanawha Blvd E, Charleston, West Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992760698 | NPI | - | NPPES |
| 7243898 | Medicaid | VA | |
| 7243871 | Medicaid | VA | |
| 7243880 | Medicaid | VA | |
| 7243863 | Medicaid | VA | |
| 0122386000 | Medicaid | WV | |
| 6688-0024 | Other | VA | CAREFIRST |
| 7247371 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085P0229X | Radiology - Pediatric Radiology | 19277 (West Virginia) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 19277 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thomas Memorial Hospital | South charleston, WV | Hospital |
| Beckley Arh Hospital | Beckley, WV | Hospital |
| Meadowview Regional Medical Center | Maysville, KY | Hospital |
| Hazard Arh Regional Medical Center | Hazard, KY | Hospital |
| Clark Regional Medical Center | Winchester, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Health Association | 1759291313 | 56 |
| Radiology Alliance Pc | 1850280470 | 301 |
| Virtual Radiologic Professionals Llc | 4981608817 | 394 |
| Pikeville Medical Center Inc | 6709790157 | 384 |
| Ths Physician Partners Inc | 9537316393 | 236 |
| Pikeville Medical Center Inc | 6709790157 | 384 |
| Entity Name | Community Health Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649277476 PECOS PAC ID: 1759291313 Enrollment ID: O20031219000784 |
| Entity Name | Associated Radiologists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649275728 PECOS PAC ID: 1355249749 Enrollment ID: O20031223000024 |
| Entity Name | Montgomery General Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619913647 PECOS PAC ID: 6204735269 Enrollment ID: O20040108000241 |
| Entity Name | Ths Physician Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871866806 PECOS PAC ID: 9537316393 Enrollment ID: O20120829000738 |
| Entity Name | Radiology Alliance Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861478489 PECOS PAC ID: 1850280470 Enrollment ID: O20200406000385 |
| Entity Name | Pikeville Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699554311 PECOS PAC ID: 6709790157 Enrollment ID: O20231010002766 |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Martin Phillips, MD Po Box 11137, Charleston, WV 25339-1137 Ph: (304) 344-3457 | Pamela Martin Phillips, MD 1120 Kanawha Blvd E, Charleston, WV 25301-2400 Ph: (304) 344-3457 |
Matthew W. Morris, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1120 Kanawha Blvd E, Charleston, WV 25301 Phone: 304-344-3457 Fax: 304-344-3480 | |
Dr. Mary H.l. Mcjunkin, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1120 Kanawha Blvd E, Charleston, WV 25301 Phone: 304-344-3457 Fax: 304-344-3480 | |
Ravindra K Gogineni, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1021 Quarrier St, Ste 301, Charleston, WV 25301 Phone: 304-343-4625 Fax: 304-343-4626 | |
Dr. John F. Mega, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1120 Kanawha Blvd E, Charleston, WV 25301 Phone: 304-344-3457 Fax: 304-344-3480 | |
Riad Al-asbahi, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1021 Quarrier St, Ste 301, Charleston, WV 25301 Phone: 304-343-4625 Fax: 304-343-4626 | |
Dr. Jennifer M. Smith, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1120 Kanawha Blvd E, Charleston, WV 25301 Phone: 304-344-3457 Fax: 304-344-3480 | |
Timothy Aaron Vanhoose, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1538 Kanawha Blvd E, Charleston, WV 25311 Phone: 304-344-3457 Fax: 304-344-3480 |