| Crystal-dawn Bradshaw, DPM | |
|
10 Medical Park Ste 203, Wheeling, WV 26003-6389 | |
| (304) 243-8360 | |
| Not Available |
| Full Name | Crystal-dawn Bradshaw |
|---|---|
| Gender | Female |
| Speciality | Podiatry |
| Experience | 10 Years |
| Location | 10 Medical Park Ste 203, Wheeling, West Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780047969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 10499 (West Virginia) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 733 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wheeling Hospital | Wheeling, WV | Hospital |
| Reynolds Memorial Hospital | Glen dale, WV | Hospital |
| Wetzel County Hospital | New martinsville, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wheeling Hospital Inc | 5799689493 | 374 |
| Wheeling Hospital Inc | 5799689493 | 374 |
| Reynolds Memorial Hospital, Inc | 9830184530 | 143 |
| Provider Name | Wheeling Hospital Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548923923 PECOS PAC ID: 5799689493 Enrollment ID: O20040204000220 |
| Provider Name | Barnesville Hospital Association, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235135450 PECOS PAC ID: 9335134592 Enrollment ID: O20040416001212 |
| Provider Name | Harrison Community Hospital Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1134151137 PECOS PAC ID: 3173511540 Enrollment ID: O20040504000997 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal-dawn Bradshaw, DPM Po Box 844572, Boston, MA 02284-4572 Ph: (301) 933-7133 | Crystal-dawn Bradshaw, DPM 10 Medical Park Ste 203, Wheeling, WV 26003-6389 Ph: (304) 243-8360 |
Wheeling Foot Clinic Podiatrist Medicare: Medicare Enrolled Practice Location: 1061 Main St, Wheeling, WV 26003 Phone: 304-233-0500 Fax: 304-233-0501 | |
Joseph H Goodwin, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3500 Jacob St, Wheeling, WV 26003 Phone: 304-905-0590 Fax: 304-905-9458 | |
Leonard A. Reynolds, Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1025 Main St, Suite 602, Wheeling, WV 26003 Phone: 304-233-0630 Fax: 304-233-0632 | |
Dr. Leonard A Reynolds, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 53 14th St, Suite 300, Wheeling, WV 26003 Phone: 304-233-0630 Fax: 304-233-0632 | |
Richard M Moorehead, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1061 Main St, Wheeling, WV 26003 Phone: 304-233-0500 Fax: 304-233-0501 | |
Achilles Foot & Ankle Surgery Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2108 Lumber Ave Ste 2, Wheeling, WV 26003 Phone: 304-243-8799 Fax: 740-633-4716 |