| Dr Preston Woodburn-camp, | |
|
150 Memorial Dr # A, Kingwood, WV 26537-1141 | |
| (304) 329-1400 | |
| Not Available |
| Full Name | Dr Preston Woodburn-camp |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 150 Memorial Dr # A, Kingwood, West Virginia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992299655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R232184 (Maryland) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 79305 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grant Memorial Hospital | Petersburg, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clinical Colleagues Inc | 8729011333 | 177 |
| Cumberland Anesthesia Ams Llc | 4981825056 | 13 |
| Entity Name | Potomac Valley Hospital Of W Va , Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316054919 PECOS PAC ID: 8123917788 Enrollment ID: O20040311001344 |
| Entity Name | Preston Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841230661 PECOS PAC ID: 5294645107 Enrollment ID: O20040609000164 |
| Entity Name | Clinical Colleagues Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992725766 PECOS PAC ID: 8729011333 Enrollment ID: O20100916000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Preston Woodburn-camp, 150 Memorial Dr # A, Kingwood, WV 26537-1141 Ph: (304) 329-1400 | Dr Preston Woodburn-camp, 150 Memorial Dr # A, Kingwood, WV 26537-1141 Ph: (304) 329-1400 |
Jamie Richardson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 150 Memorial Dr, Kingwood, WV 26537 Phone: 304-329-1400 Fax: 304-329-1175 | |
Deborah Street, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 150 Memorial Dr, Kingwood, WV 26537 Phone: 304-329-1400 |