Dr Stefan Randolph Maxwell, MD in Charleston, WV - Medicare Pediatrics

Dr Stefan Randolph Maxwell, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Charleston, West Virginia. His current practice location is 830 Pennsylvania Ave, Suite 406, Charleston, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 388-2238.

Dr Stefan Randolph Maxwell is licensed to practice in West Virginia (license number 16172) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164473534.

Contact Information

	Dr Stefan Randolph Maxwell, MD
	830 Pennsylvania Ave, Suite 406, Charleston, WV 25302-3302
	(304) 388-2238
	(304) 388-2243

Physician's Profile

Full Name	Dr Stefan Randolph Maxwell
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	830 Pennsylvania Ave, Charleston, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164473534
Provider Enumeration Date: 05/12/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9032192208
Enrollment ID: I20150204000976

Medical Identifiers

Medical identifiers for Dr Stefan Randolph Maxwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164473534	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	16172 (West Virginia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Stefan Randolph Maxwell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Stefan Randolph Maxwell, MD 5 Chatham Rd, Charleston, WV 25304-2763 Ph: (304) 926-6428	Dr Stefan Randolph Maxwell, MD 830 Pennsylvania Ave, Suite 406, Charleston, WV 25302-3302 Ph: (304) 388-2238

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Pediatrics Doctors in Charleston, WV

Dr. John M Eckerd, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302 Phone: 304-388-1552 Fax: 304-388-1577
Jennifer Anne Hines, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Florida St, Charleston, WV 25302 Phone: 304-414-4015 Fax: 304-414-4018
Jane Elizabeth Nicholas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 800 Pennsylvania Ave, Charleston, WV 25302 Phone: 304-414-1880 Fax: 304-414-1886
Afif S Habash, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4920 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-442-8117
Mrs. Mary C Pozega, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5324 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-925-7001 Fax: 304-925-7234
Youmna Mousattat, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 800 Pennsylvania Ave, Charleston, WV 25302 Phone: 304-388-2525

Dr Stefan Randolph Maxwell, MD - Medicare Pediatrics in Charleston, WV