| Family Medicine Of Berkeley Springs, Inc. | |
|
236 N Washington St Berkeley Springs WV 25411-1551 | |
| (304) 258-4408 | |
| (304) 258-6858 |
| Full Name | Family Medicine Of Berkeley Springs, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 236 N Washington St, Berkeley Springs, West Virginia |
| Authorized Official Name and Position | Andrew Joseph Berens (PRESIDENT/OWNER) |
| Authorized Official Contact | 3042584408 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Of Berkeley Springs, Inc. 236 N Washington St Berkeley Springs WV 25411-1551 Ph: (304) 258-4408 | Family Medicine Of Berkeley Springs, Inc. 236 N Washington St Berkeley Springs WV 25411-1551 Ph: (304) 258-4408 |
| NPI Number | 1700968351 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4486606001 |
|---|---|
| Medicare Enrollment ID | O20050211000330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700968351 | NPI | - | NPPES |
| 1801930000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16621 (West Virginia) | Primary |
| Provider Name | Andrew J Berens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912962358 PECOS PAC ID: 4385696905 Enrollment ID: I20050906000061 |
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