| Kevin A Passerby, MPT | |
|
150 Memorial Dr, Kingwood, WV 26537-1141 | |
| (304) 329-3908 | |
| Not Available |
| Full Name | Kevin A Passerby |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 150 Memorial Dr, Kingwood, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275546905 | NPI | - | NPPES |
| 2701802 | Medicaid | OH | |
| 156572000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 001135 (West Virginia) | Primary |
| Provider Name | Preston Memorial Hospital Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841230661 PECOS PAC ID: 5294645107 Enrollment ID: O20040609000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin A Passerby, MPT 150 Memorial Dr, Kingwood, WV 26537-1141 Ph: (304) 329-3908 | Kevin A Passerby, MPT 150 Memorial Dr, Kingwood, WV 26537-1141 Ph: (304) 329-3908 |
Mrs. Teresa Marie Reynolds, PT, MBA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 421 Morgantown St, Kingwood, WV 26537 Phone: 304-789-2152 | |
Tiffany Helen Alexander, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 421 Morgantown St, Kingwood, WV 26537 Phone: 304-329-3739 Fax: 304-329-3250 | |
Ashley E Jose, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 150 Memorial Dr, Kingwood, WV 26537 Phone: 304-329-1400 Fax: 304-329-1175 | |
Mr. Wayne Percy Woods, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 S Price St, Kingwood, WV 26537 Phone: 304-329-3908 | |
Ashley E Greene, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Memorial Dr, Kingwood, WV 26537 Phone: 304-329-3908 Fax: 304-329-3918 | |
Madison Leigh Boggess, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 421 Morgantown St, Kingwood, WV 26537 Phone: 304-329-3739 Fax: 304-329-3250 |