Phillip Nicodemus, CRNA | |
94 Old Mill Rd, Martinsburg, WV 25401-9284 | |
(304) 264-8933 | |
(304) 264-8846 |
Full Name | Phillip Nicodemus |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 94 Old Mill Rd, Martinsburg, West Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417917899 | NPI | - | NPPES |
0068750000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 33379 (West Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Phillip Nicodemus, CRNA 94 Old Mill Rd, Martinsburg, WV 25401-9284 Ph: (304) 264-8933 | Phillip Nicodemus, CRNA 94 Old Mill Rd, Martinsburg, WV 25401-9284 Ph: (304) 264-8933 |
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› Verified 8 days ago
Satish Kumar Menon, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 94 Old Mill Rd, Martinsburg, WV 25401 Phone: 304-264-8933 Fax: 304-264-8846 | |
Sarah Mclellan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2000 Foundation Way, Suite 3400, Martinsburg, WV 25401 Phone: 304-264-1000 | |
Linda Jones, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 94 Old Mill Rd, Martinsburg, WV 25401 Phone: 304-264-8933 Fax: 304-264-8846 | |
Duong Thai Ly, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1006 Tavern Rd, Martinsburg, WV 25401 Phone: 304-267-5141 Fax: 304-267-5140 | |
Paulette Pickett, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 94 Old Mill Rd, Martinsburg, WV 25401 Phone: 304-264-8933 Fax: 304-264-8846 | |
Danilo J Gervacio, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 94 Old Mill Rd, Martinsburg, WV 25401 Phone: 304-264-8933 Fax: 304-264-8846 |