2007 SECOND STREET
MASON, WV 25260 US PECOS Enrolled
Robert G Tayengco
Internal Medicine Physician
- MASON, WV
- Phone: (304)-773-5195
- Last Updated 1/23/2008
Overview
Robert G Tayengco is a Internal Medicine Physician in the MASON area and has over 34 years of experience. Robert G Tayengco primary office location is at 2007 SECOND STREET and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1990
Robert G Tayengco is affiliated with five hospitals in the MASON area, including . The NPI number is 1215038401 and the information was updated approximately 16 years ago.
Robert G Tayengco is affiliated with one medical group in the MASON area, POINT PLEASANT PHYSICIAN BILLING SERVICES.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 19087 | WV |
| Board Certifications |
|---|
| Internal Medicine |
| Type/Issuer | Identifier | State |
|---|---|---|
| BCBS | 000026375 | WA |
| COMMERICAL INSURANCE | 550737600 | WV |
| MEDICAID | 0080756000 | WV |
| MEDICAID | 2028755 | OH |
| FEDERAL BLACK LUNG | 230077 | WV |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | WV | Y |
| Internal Medicine Physician (Critical Care Medicine) - Taxonomy Code 207RC0200X | WV | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20100712000477 |
| PECOS Individual PAC ID: | 5890827786 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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