| Domingo G Javier Md Inc | |
|
1701 Jefferson St Bluefield WV 24701-1701 | |
| (304) 325-5755 | |
| (304) 323-1639 |
| Full Name | Domingo G Javier Md Inc |
|---|---|
| Speciality | General Practice |
| Location | 1701 Jefferson St, Bluefield, West Virginia |
| Authorized Official Name and Position | Domingo Gonzales Javier (MD) |
| Authorized Official Contact | 3043255755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Domingo G Javier Md Inc 1701 Jefferson St Bluefield WV 24701-1701 Ph: (304) 325-5755 | Domingo G Javier Md Inc 1701 Jefferson St Bluefield WV 24701-1701 Ph: (304) 325-5755 |
| NPI Number | 1588755813 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3173799137 |
|---|---|
| Medicare Enrollment ID | O20111222000438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588755813 | NPI | - | NPPES |
| 0472131 | Other | UMWA-FUNDS | |
| 0127512000 | Medicaid | WV | |
| 7350431 | Other | VA | VA MED ASSIS |
| V000267 | Other | BLACK LUNG | |
| 062480 | Other | VA | B/C/ANTHEM |
| 851 945 | Other | MAMSI | |
| 1022384 | Other | WV | WORKERS COMP |
| 4454937 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Domingo G Javier |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1699872135 PECOS PAC ID: 4486820370 Enrollment ID: I20111227000121 |
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