Phillip Nicodemus, CRNA - Anesthesiology in Martinsburg, WV

Phillip Nicodemus, CRNA is a Anesthesiology physician based in Martinsburg, West Virginia. Phillip Nicodemus is licensed to practice in West Virginia (license number 33379) and his current practice location is 94 Old Mill Rd, Martinsburg, West Virginia. He can be reached at his office (for appointments etc.) via phone at (304) 264-8933.

NPI number for Phillip Nicodemus is 1417917899 and his current mailing address is 94 Old Mill Rd, Martinsburg, West Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417917899.

Contact Information

Phillip Nicodemus, CRNA
94 Old Mill Rd,
Martinsburg, WV 25401-9284
(304) 264-8933
(304) 264-8846

Map and Direction




Physician's Profile

Full NamePhillip Nicodemus
GenderMale
SpecialityAnesthesiology
Location94 Old Mill Rd, Martinsburg, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417917899
  • Provider Enumeration Date: 03/28/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Phillip Nicodemus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417917899NPI-NPPES
0068750000MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 33379 (West Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Phillip Nicodemus is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Phillip Nicodemus, CRNA
94 Old Mill Rd,
Martinsburg, WV 25401-9284

Ph: (304) 264-8933
Phillip Nicodemus, CRNA
94 Old Mill Rd,
Martinsburg, WV 25401-9284

Ph: (304) 264-8933

Reviews and Comments


Anesthesiology Doctors in Martinsburg, WV

Satish Kumar Menon, DO
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 94 Old Mill Rd, Martinsburg, WV 25401
Phone: 304-264-8933    Fax: 304-264-8846
Sarah Mclellan, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 2000 Foundation Way, Suite 3400, Martinsburg, WV 25401
Phone: 304-264-1000    
Linda Jones, CRNA
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 94 Old Mill Rd, Martinsburg, WV 25401
Phone: 304-264-8933    Fax: 304-264-8846
Duong Thai Ly, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 1006 Tavern Rd, Martinsburg, WV 25401
Phone: 304-267-5141    Fax: 304-267-5140
Paulette Pickett, CRNA
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 94 Old Mill Rd, Martinsburg, WV 25401
Phone: 304-264-8933    Fax: 304-264-8846
Danilo J Gervacio, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 94 Old Mill Rd, Martinsburg, WV 25401
Phone: 304-264-8933    Fax: 304-264-8846

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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