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Jurisdiction 11 Part B
Opt Out Listing: West Virginia

The providers listed below are those who have elected to opt out of the Medicare program. If you've recently opted out of the Medicare Program it's possible that your name will not appear on the Web site until the next quarterly update.

The date in the far right hand column represents the date the provider first chose to opt out of the Medicare Program. Providers who opt out cannot be employed by or work with other groups who have members who have not also chosen to opt out of the Medicare program. For more information about opting out of Medicare (also known as 'private contracting'), refer to the CMS Medicare Benefit Policy Manual (PDF, 1.22 MB), (Pub. 100-02), Chapter 15, Section 40 (in its entirety).

NAME/ADDRESS
SPECIALTY
PAR /NONPAR
DATE
BAILEY, JEANNE
1401 HOSPITAL DR
HURRICANE WV 25526
19
N
11/15/2005
BLAIR, PAUL
3667 TEAYS VALLEY ROAD
HURRICANE WV 25526-9658
04
P
10/01/2009
BRADFORD, LUCY
1441W WASHINGTON ST
BOLIVAR WV 25425-6380
80
N
03/01/2012
BRANNON, ERIC
350 HOSPITAL DR
SPENCER WV 25276-1049
19
N
12/11/2012
BRANNON, REGINA
350 HOSPITAL DR
SPENCER WV 25276-1049
19
N
12/11/2012
CHICO, ERIC
54W 3RD AVE
WILLIAMSON WV 25661-3508
08
N
02/01/2011
CID, MARCOS
406 HOLLAND AVE
WESTOVER WV 26501-4209
19
N
12/10/2012
DELLI-GATTI, MARK
2905 DUDLEY AVE
PARKERSBURG WV 26101
19
N
11/06/2007
DIMARCO, ANN
1102 ABOUT TOWN PL
MORGANTOWN WV 26508-5826
80
N
05/02/2012
DOBBINS, RILEY
7512 MARTINSBURG PIKE
SHEPHERDSTOWN WV 25443-4401
19
N
07/12/2012
DOLIN, JOSHUA
142 HIGH ST
MORGANTOWN WV 26505-5413
19
N
12/28/2010
DUDA, JOSEPH
150 BROOKSHIRE LN
BECKLEY WV 25801-6761
19
N
10/01/2009
FRUM, DIANA
406 HOLLAND AVE
WESTOVER WV 26501-4209
19
N
12/06/2010
GERBER, JAY
6 ROSEMAR CIR
PARKERSBURG WV 26104-1204
19
N
04/01/2013
GERBER, JAY
6 ROSEMAR CIRCLE
PARKERSBURG WV 26104-1204
19
N
06/01/1992
GREEN, CHARLES
233B RR 2
MOUNT CLARE WV 26408-9719
68
N
03/04/2013
GREEN, CHARLES
RT 2 BOX 233B
MOUNT CLARE WV 26408-9719
62
N
03/04/2013
GREENE, RYAN
404 CASSINA DR
MORGANTOWN WV 26505-2492
19
N
12/10/2012
GROVES JR., LOUIS
480 HANNA FARM RD
SUMMERSVILLE WV 26651-4048
08
N
10/01/2012
HAMMOND, JEFFREY
1286 SUNCREST TOWNE CENTRE
MORGANTOWN WV 26505
68
N
07/09/2012
KURUCZ, JANE
3667 TEAYS VALLEY RD
HURRICANE WV 25526-9695
02
P
10/01/2009
LERFALD, SIDNEY
415 MORRIS STREET
CHARLESTON WV 25301
26
N
12/31/1975
MEADOWS, CRAIG
111 TAVERN RD
MARTINSBURG WV 25401-2841
19
N
10/01/2012
MILLER II, BOBBY
1225 6TH AVE
HUNTINGTON WV 25701-2311
26
N
10/01/1988
MILLER II, BOBBY
919 6TH AVE
HUNTINGTON WV 25701-2305
26
N
06/01/2009
NAJAR, DAVID
1514 NORTH WALKER ST
PRINCETON WV 24740
19
N
04/16/2007
NEWHART, RICHARD
1308 MARKET ST
PARKERSBURG WV 26101
19
N
03/16/2007
PELLEGRINI, JOHN
1500 GRAND CENTRAL AVE
VIENNA WV 26105-1079
01
N
12/18/2010
PELLEGRINI, JOHN
1709 HARPER RD
BECKLEY WV 25801
01
N
12/18/2010
PELLEGRINI, JOHN
215 DON KNOTTS BLVD
MORGANTOWN WV 26501
01
N
12/18/2010
PELLEGRINI, JOHN
3120 US ROUTE 60
HUNTINGTON WV 25705-2739
01
N
07/01/2011
PELLEGRINI, JOHN
404 CARRIAGE DRIVE
BECKLEY WV 25801-2806
01
N
07/01/2011
PELLEGRINI, JOHN
4812 MACCORKLE SWAVE
CHARLESTON WV 25309-1340
01
N
12/18/2010
PELLEGRINI, JOHN
5430 MACCORKLE AVE SE
CHARLESTON WV 25304-2224
01
N
07/01/2011
PELLEGRINI, JOHN
5861 MASON-DIXON HWY
BLACKSVILLE WV 26521
01
N
11/20/2010
PELLEGRINI, JOHN
60 MAY LANE
BURTON WV 26562-0024
01
N
07/01/2011
PELLEGRINI, JOHN
620 NATIONAL RD
WHEELING WV 26003
01
N
12/18/2010
POLONCHAK, CATHRYN
129 EAST GERMAN STREET
SHEPHERDSTOWN WV 25443-1784
80
N
11/25/2011
RAMOS, F
121 W WASHINGTON STREET
CHARLESTON WV 25302-2343
11
N
08/22/2009
RAMOS, F
77 HOSPITAL DRIVE
LOGAN WV 25601
11
N
07/01/2011
SIMPSON, FRIDAY
2627 5TH AVE
HUNTINGTON WV 25702
08
N
04/01/2013
STEINVURZEL, MARK
100 PEYTON WAY 202
SOUTH CHARLESTON WV 25309-8545
18
N
01/01/2013
TEBAY, HARRY
1301 GRAND CENTRAL AVE
VIENNA WV 26105-1052
19
N
09/01/2011
WHITE, CARL
406 HOLLAND AVE
WESTOVER WV 26501-4209
19
N
12/10/2012
WILFONG, DANIEL
2905 DUDLEY AVE
PARKERSBURG WV 26101
19
N
11/28/2007
WILSON, EMILY
105 RIVER RD
BARBOURSVILLE WV 25504-1205
68
N
08/30/2012

 

 

last updated on 04/30/2013
ver 1.0.37