| Tyler J Hall, DO | |
|
230 Hospital Plz, Weston, WV 26452-8558 | |
| (304) 269-8100 | |
| (304) 269-8090 |
| Full Name | Tyler J Hall |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 230 Hospital Plz, Weston, 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 |
|---|---|---|---|
| 1164743415 | NPI | - | NPPES |
| 3810025150 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2544 (West Virginia) | Primary |
| 207Q00000X | Family Medicine | 2544 (West Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Stonewall Jackson Memorial Hospital | Weston, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stonewall Jackson Memorial Hospital Company | 4284530551 | 48 |
| Entity Name | Stonewall Jackson Memorial Hospital Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477559433 PECOS PAC ID: 4284530551 Enrollment ID: O20040130000739 |
| Entity Name | West Virginia Emergency Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952776379 PECOS PAC ID: 7618270323 Enrollment ID: O20160128002708 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler J Hall, DO 230 Hospital Plz, Weston, WV 26452-8558 Ph: (304) 269-8100 | Tyler J Hall, DO 230 Hospital Plz, Weston, WV 26452-8558 Ph: (304) 269-8100 |
John Philip Janousek, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 Hospital Plz, Weston, WV 26452 Phone: 304-269-8000 Fax: 304-269-8090 | |
Dr. Robert Snuffer, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 402 Medical Park Dr, Weston, WV 26452 Phone: 304-269-3929 Fax: 304-269-3911 |