| Brandon Bolduc, PA-C | |
|
651 Colliers Way Ste 511, Weirton, WV 26062-5054 | |
| (304) 723-6801 | |
| Not Available |
| Full Name | Brandon Bolduc |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 651 Colliers Way Ste 511, Weirton, 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 |
|---|---|---|---|
| 1316415672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2180 (West Virginia) | Secondary |
| 363A00000X | Physician Assistant | 50.006507RX (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Weirton Medical Center, Inc | Weirton, WV | Hospital |
| Trinity Medical Ctr East &trinity Medical Ctr West | Steubenville, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wmc Physician Practices Llc | 0244466753 | 112 |
| Entity Name | Wmc Physician Practices LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518303288 PECOS PAC ID: 0244466753 Enrollment ID: O20131111001065 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Bolduc, PA-C 651 Colliers Way Ste 511, Weirton, WV 26062-5054 Ph: (304) 723-6801 | Brandon Bolduc, PA-C 651 Colliers Way Ste 511, Weirton, WV 26062-5054 Ph: (304) 723-6801 |
Kristen Marie Cosgray, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3158 West St, Weirton, WV 26062 Phone: 304-797-7733 |
Ceirra Michelle Zeigler, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 307-797-6100 |
Mr. Michael J Vignovich, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 304-797-6095 |
Hannah Hoover, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 Colliers Way, Weirton, WV 26062 Phone: 304-797-6000 |
Miss Adele Denise Rinchuse, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 304-797-6000 |
Lucas E Dvorchak, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 724-322-6152 |
Marcie Krivak, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 651 Colliers Way Ste 510, Weirton, WV 26062 Phone: 304-797-6595 Fax: 304-797-6052 |