| Walter C Boardwine, DO | |
|
801 Gorman Ave, Elkins, WV 26241-3147 | |
| (304) 636-3300 | |
| Not Available |
| Full Name | Walter C Boardwine |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 40 Years |
| Location | 801 Gorman Ave, Elkins, 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 |
|---|---|---|---|
| 1922107911 | NPI | - | NPPES |
| 3810030053 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 38203 (Colorado) | Secondary |
| 207X00000X | Orthopaedic Surgery | 3019 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Davis Medical Center | Elkins, WV | Hospital |
| Webster County Memorial Hospital | Webster springs, WV | Hospital |
| Broaddus Hospital Association, Inc | Philippi, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Davis Memorial Hospital | 3072418540 | 69 |
| Entity Name | Davis Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619964806 PECOS PAC ID: 3072418540 Enrollment ID: O20040107000438 |
| Entity Name | Webster Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679241152 PECOS PAC ID: 6709275373 Enrollment ID: O20211227001169 |
| Mailing Address | Practice Location Address |
|---|---|
| Walter C Boardwine, DO 812 Gorman Ave, Elkins, WV 26241-3181 Ph: (304) 637-9302 | Walter C Boardwine, DO 801 Gorman Ave, Elkins, WV 26241-3147 Ph: (304) 636-3300 |
Dr. Kenneth Edward Damato, D.O. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 Seneca Road, Elkins, WV 26241 Phone: 304-636-8080 Fax: 304-636-8849 | |
Dr. Lucas John Pavlovich, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 Gorman Ave, Elkins, WV 26241 Phone: 304-636-3300 | |
Dr. Richard Edmond Topping, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 Gorman Ave, Elkins, WV 26241 Phone: 304-636-3300 |