| Tomislav M Jelic, MD | |
|
3200 Maccorkle Avenue Se, Pathology Department, Charleston, WV 25304 | |
| (304) 388-5550 | |
| (304) 388-4352 |
| Full Name | Tomislav M Jelic |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology |
| Location | 3200 Maccorkle Avenue Se, Charleston, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609802511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0101X | Pathology - Anatomic Pathology | 17984 (West Virginia) | Primary |
| Entity Name | Charleston Area Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
| Mailing Address | Practice Location Address |
|---|---|
| Tomislav M Jelic, MD 415 Morris Street, Suite 304, Charleston, WV 25301 Ph: (304) 388-7782 | Tomislav M Jelic, MD 3200 Maccorkle Avenue Se, Pathology Department, Charleston, WV 25304 Ph: (304) 388-5550 |
Dr. Oscar Cinco Estalilla, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Avenue Se, Pathology Department, Charleston, WV 25304 Phone: 304-388-5550 Fax: 304-388-4352 | |
David A. Hansen, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3200 Maccorkle Avenue Se, Pathology Department, Charleston, WV 25304 Phone: 304-388-5550 Fax: 304-388-4352 | |
Dr. Zachary Grimes, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-5550 | |
Dr. Robert Matthew Mccoy, MD Pathology Medicare: Medicare Enrolled Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-5550 Fax: 304-388-4352 | |
Mark G Inman, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3200 Maccorkle Avenue Se, Pathology Department, Charleston, WV 25304 Phone: 304-388-5550 Fax: 304-388-4352 | |
Phyllis R. Sawyer, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3200 Maccorkle Avenue Se, Pathology Department, Charleston, WV 25304 Phone: 304-388-5550 Fax: 304-388-4352 | |
Dr. Andrew Milton Plata, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-5550 |