Prudencio C Corro, MD is a medicare enrolled "Otolaryngology - Otolaryngic Allergy" physician in Glen Morgan, West Virginia. His current practice location is
673 Ritter Dr, Glen Morgan, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 252-0775.
Prudencio C Corro is licensed to practice in West Virginia (license number 9578) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740238765.
Physician's Profile
| Full Name | Prudencio C Corro |
|---|
| Gender | Male |
|---|
| Speciality | Otolaryngology - Otolaryngic Allergy |
|---|
| Location | 673 Ritter Dr, Glen Morgan, West Virginia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1740238765
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 12/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 3577738897
- Enrollment ID: I20111214000674
Medical Identifiers
Medical identifiers for Prudencio C Corro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740238765 | NPI | - | NPPES |
| 0101068000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 5862 (West Virginia) | Secondary |
| 207Y00000X | Otolaryngology | 9578 (West Virginia) | Secondary |
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | 9578 (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. Prudencio C Corro is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Prudencio C Corro, MD
673 Ritter Dr,
Glen Morgan, WV 25813-7707
Ph: (304) 252-0775 | Prudencio C Corro, MD
673 Ritter Dr,
Glen Morgan, WV 25813-7707
Ph: (304) 252-0775 |
Reviews and Comments