| Raymond Anthony Bannan, | |
|
2101 Jacob St. Suite 201, Valley Prof Center South, Wheeling, WV 26003-6390 | |
| (304) 242-9245 | |
| (304) 242-6870 |
| Full Name | Raymond Anthony Bannan |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 39 Years |
| Location | 2101 Jacob St. Suite 201, Wheeling, West Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548328875 | NPI | - | NPPES |
| 0095458000 | Medicaid | WV | |
| DG8768 | Other | WV | RAILROAD MEDICARE GROUP |
| 180012368 | Other | WV | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 16474 (West Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Raymond A Bannan, Md Llc | 8628487881 | 4 |
| Raymond A Bannan, Md Llc | 8628487881 | 4 |
| Entity Name | Raymond A Bannan, Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225619786 PECOS PAC ID: 8628487881 Enrollment ID: O20210504000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond Anthony Bannan, 300 Wharton Cir, Ste 120, Triadelphia, WV 26059-1293 Ph: (304) 242-9245 | Raymond Anthony Bannan, 2101 Jacob St. Suite 201, Valley Prof Center South, Wheeling, WV 26003-6390 Ph: (304) 242-9245 |
Dr. William Douglas Strauch, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 96 12th St, Wheeling, WV 26003 Phone: 304-232-0510 Fax: 304-232-0526 | |
Dr. Janis English Reed, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2101 Jacob St, Suite 401, Wheeling, WV 26003 Phone: 304-234-1863 | |
Robert L Joseph, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1300 Market St, Wheeling, WV 26003 Phone: 304-232-8440 Fax: 304-232-6928 |