| William A Cline, DO | |
|
800 Grand Central Mall, Suite 2, Vienna, WV 26105-4100 | |
| (304) 865-4350 | |
| (304) 420-5995 |
| Full Name | William A Cline |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 32 Years |
| Location | 800 Grand Central Mall, Vienna, 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 |
|---|---|---|---|
| 1790724516 | NPI | - | NPPES |
| 2307122 | Medicaid | OH | |
| 3810000229 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 34.006999 (Ohio) | Secondary |
| 208600000X | Surgery | 2812 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Camden Clark Medical Center | Parkersburg, WV | Hospital |
| Jackson General Hospital | Ripley, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Camden-clark Physician Corporation | 5294885661 | 254 |
| Camden-clark Physician Corporation | 5294885661 | 254 |
| Entity Name | Parkersburg Surgical Associates, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548285117 PECOS PAC ID: 4082690409 Enrollment ID: O20080319000034 |
| 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: O20090604000598 |
| Mailing Address | Practice Location Address |
|---|---|
| William A Cline, DO 800 Grand Central Mall, Suite 2, Vienna, WV 26105-4100 Ph: (304) 865-4350 | William A Cline, DO 800 Grand Central Mall, Suite 2, Vienna, WV 26105-4100 Ph: (304) 865-4350 |
Dr. John Kevin Koch, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 800 Grand Central Mall, Suite 2, Vienna, WV 26105 Phone: 304-865-4350 Fax: 304-865-4348 | |
Dr. Michael Don Roberts, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 Grand Central Mall, Suite 2, Vienna, WV 26105 Phone: 304-865-4350 Fax: 304-420-5995 |