Mrs Kimberly J Fairley, DO - Medicare Gastroenterology in Bridgeport, WV

Mrs Kimberly J Fairley, DO is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Bridgeport, West Virginia. She went to West Virginia School Of Osteopathic Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Gastroenterology. She is a member of the group practice United Hospital Center Inc and her current practice location is 527 Medical Park Dr Ste 402, Bridgeport, West Virginia. You can reach out to her office (for appointments etc.) via phone at (681) 342-3690.

Mrs Kimberly J Fairley is licensed to practice in West Virginia (license number 2422) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114199411.

Contact Information

Mrs Kimberly J Fairley, DO
527 Medical Park Dr Ste 402,
Bridgeport, WV 26330-9010
(681) 342-3690
Not Available



Physician's Profile

Full NameMrs Kimberly J Fairley
GenderFemale
SpecialityGastroenterology
Experience16 Years
Location527 Medical Park Dr Ste 402, Bridgeport, West Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Kimberly J Fairley attended and graduated from West Virginia School Of Osteopathic Medicine in 2008
  NPI Data:
  • NPI Number: 1114199411
  • Provider Enumeration Date: 03/26/2008
  • Last Update Date: 04/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6204966310
  • Enrollment ID: I20100616000982

Medical Identifiers

Medical identifiers for Mrs Kimberly J Fairley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114199411NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 2422 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
United Hospital CenterBridgeport, WVHospital
St Joseph's HospitalBuckhannon, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
United Hospital Center Inc8123936010209

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kimberly J Fairley allows following entities to bill medicare on her behalf.
Entity NameWest Virginia University Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275504508
PECOS PAC ID: 1052224565
Enrollment ID: O20031111000207

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Entity NameUnited Hospital Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760965586
PECOS PAC ID: 8123936010
Enrollment ID: O20031212000802

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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. Mrs Kimberly J Fairley 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 AddressPractice Location Address
Mrs Kimberly J Fairley, DO
527 Medical Park Dr Ste 402,
Bridgeport, WV 26330-9010

Ph: (681) 342-3690
Mrs Kimberly J Fairley, DO
527 Medical Park Dr Ste 402,
Bridgeport, WV 26330-9010

Ph: (681) 342-3690

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Internal Medicine Doctors in Bridgeport, WV

Dr. Michael T. Angotti, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 527 Medical Park Dr, Suite 307, Bridgeport, WV 26330
Phone: 304-933-3332    Fax: 304-933-3318
Brandon Shiflett, MD
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330
Phone: 681-342-1000    
Nabeel Ghabra, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 527 Medical Park Dr Ste 402, Bridgeport, WV 26330
Phone: 681-342-3690    Fax: 681-342-3695
Salma Khatoon, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330
Phone: 681-342-1852    
Dr. Nathaniel James Kesner, D.O.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330
Phone: 304-623-1330    
Dr. Susan W. Miller, MD
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 140 W Main St, Bridgeport, WV 26330
Phone: 304-842-2206    Fax: 304-842-2580

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