| Roger S Vanfossen, PA-C | |
|
800 Garfield Ave, Parkersburg, WV 26101-5340 | |
| (304) 424-2355 | |
| Not Available |
| Full Name | Roger S Vanfossen |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 28 Years |
| Location | 800 Garfield Ave, Parkersburg, 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 |
|---|---|---|---|
| 1699714550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 703 (West Virginia) | Secondary |
| 363A00000X | Physician Assistant | 703 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Davis Medical Center | Elkins, WV | Hospital |
| Camden Clark Medical Center | Parkersburg, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Camden-clark Physician Corporation | 5294885661 | 345 |
| Entity Name | West Virginia University Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
| Entity Name | Cherokee Emergency Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982643938 PECOS PAC ID: 2961396122 Enrollment ID: O20040210000492 |
| Entity Name | West Virginia University Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598847634 PECOS PAC ID: 9537077441 Enrollment ID: O20050404000512 |
| Entity Name | Camden-clark Physician Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710125430 PECOS PAC ID: 5294885661 Enrollment ID: O20090604000570 |
| Entity Name | West Virginia Health Care Cooperative Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417415324 PECOS PAC ID: 9830431030 Enrollment ID: O20190508000440 |
| Entity Name | West Virginia Health Care Cooperative Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1043778319 PECOS PAC ID: 9830431030 Enrollment ID: O20190531001788 |
| Entity Name | Fayette Physician Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437823044 PECOS PAC ID: 3375865819 Enrollment ID: O20220822000080 |
| Entity Name | Richbend Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093438830 PECOS PAC ID: 2163890773 Enrollment ID: O20250422003383 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger S Vanfossen, PA-C Po Box 763, Morgantown, WV 26507-0763 Ph: Not Available | Roger S Vanfossen, PA-C 800 Garfield Ave, Parkersburg, WV 26101-5340 Ph: (304) 424-2355 |