| Robert G Tayengco, MD | |
|
2007 Second Street, Mason, WV 25260 | |
| (304) 773-5195 | |
| (304) 675-5167 |
| Full Name | Robert G Tayengco |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 35 Years |
| Location | 2007 Second Street, Mason, 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 |
|---|---|---|---|
| 1215038401 | NPI | - | NPPES |
| 000026375 | Other | WA | BCBS |
| 550737600 | Other | WV | COMMERICAL INSURANCE |
| 0080756000 | Medicaid | WV | |
| 2028755 | Medicaid | OH | |
| 230077 | Other | WV | FEDERAL BLACK LUNG |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 19087 (West Virginia) | Primary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | 19087 (West Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pleasant Valley Home Health | Point pleasant, WV | Home health agency |
| Amedisys Home Health Of West Virginia | Charleston, WV | Home health agency |
| Hospice Of Huntington | Huntington, WV | Hospice |
| Pleasant Valley Hospital | Point pleasant, WV | Hospital |
| Holzer Medical Center | Gallipolis, OH | Hospital |
| St Mary's Medical Center | Huntington, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pleasant Valley Hospital, Inc. | 2769390236 | 11 |
| Point Pleasant Physician Billing Services | 3375538184 | 29 |
| Entity Name | Point Pleasant Physician Billing Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798898 PECOS PAC ID: 3375538184 Enrollment ID: O20040419001780 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert G Tayengco, MD Po Box 236, Pt Pleasant, WV 25550-0236 Ph: (304) 675-1020 | Robert G Tayengco, MD 2007 Second Street, Mason, WV 25260 Ph: (304) 773-5195 |
Wesley R Lieving, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 2007 Second Street, Mason, WV 25260 Phone: 304-773-5194 |