| Thomas S Kowalkowski, MD | |
|
1521 Maplewood Ave, Ronceverte, WV 24970-8026 | |
| (304) 647-5642 | |
| (304) 647-5708 |
| Full Name | Thomas S Kowalkowski |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 41 Years |
| Location | 1521 Maplewood Ave, Ronceverte, West Virginia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942296066 | NPI | - | NPPES |
| 0040599000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 14532 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Greenbrier Valley Medical Center | Ronceverte, WV | Hospital |
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Raleigh General Hospital | Beckley, WV | Hospital |
| Plateau Medical Center | Oak hill, WV | Hospital |
| Pocahontas Memorial Hospital | Buckeye, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Camc Greenbrier Valley Medical Center Inc | 1254702962 | 67 |
| Entity Name | Camc Greenbrier Valley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588373872 PECOS PAC ID: 1254702962 Enrollment ID: O20230118000113 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas S Kowalkowski, MD 176 Dawkins Dr, Lewisburg, WV 24901-9302 Ph: (304) 647-4411 | Thomas S Kowalkowski, MD 1521 Maplewood Ave, Ronceverte, WV 24970-8026 Ph: (304) 647-5642 |
Joseph Mouchizadeh, MD Urology Medicare: May Accept Medicare Assignments Practice Location: 1521 Maplewood Ave, Ronceverte, WV 24970 Phone: 304-647-5642 Fax: 304-647-5708 | |
Kyle F Fort, MD Urology Medicare: Medicare Enrolled Practice Location: 1521 Maplewood Ave, Ronceverte, WV 24970 Phone: 304-647-5642 Fax: 304-647-5708 |