| Ernesto H Agbayani Md Pllc | |
|
155 Health Care Ln Martinsburg WV 25401-4008 | |
| (304) 596-6911 | |
| (304) 596-6913 |
| Full Name | Ernesto H Agbayani Md Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 155 Health Care Ln, Martinsburg, West Virginia |
| Authorized Official Name and Position | Ernesto H Agbayani (DOCTOR) |
| Authorized Official Contact | 3045966911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ernesto H Agbayani Md Pllc 155 Health Care Ln Martinsburg WV 25401-4008 Ph: (304) 596-6911 | Ernesto H Agbayani Md Pllc 155 Health Care Ln Martinsburg WV 25401-4008 Ph: (304) 596-6911 |
| NPI Number | 1407072663 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 04/15/2013 |
| Medicare PECOS PAC ID | 8224193321 |
|---|---|
| Medicare Enrollment ID | O20090224000142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407072663 | NPI | - | NPPES |
| 1807372000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 19905 (West Virginia) | Primary |
| Provider Name | Ernesto H Agbayani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497778427 PECOS PAC ID: 7315942455 Enrollment ID: I20060925000392 |
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