Zane A Dennison, DO
Individual provider Active NPI Family Medicine Physician · Bridgeport, WV
NPI 1649769639 · NPPES record last updated Apr 6, 2022
Key facts
- NPI
- 1649769639
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 3663 (WV)
- Practice address
- 527 Medical Park Dr Ste 500
Bridgeport, WV 26330-9010 - Phone
- (681) 342-3600
- Fax
- (681) 342-3625
- NPI assigned
- May 4, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- West Virginia School of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Braxton County Memorial Hospital
Practice addresses (Care Compare)
617 River St
Gassaway, WV 26624-1137
Phone (304) 364-2401
Hospital & facility affiliations
- Wvuhs Home Care
- West Virginia Caring
- Braxton County Memorial Hospital, Inc
- United Hospital Center, Inc
- Summersville Regional Medical Center
- Thomas Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210511001689 | WV | Practitioner - Family Practice |
2062762743 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3663 | WV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Braxton County Memorial Hospital | Current |
Accepting new patients | |
| Braxton County Memorial Hospital | Current |
Accepting new patients |
Locations
617 River St
Gassaway, WV 26624
Phone (304) 364-2401
100 Hoylman Dr
Gassaway, WV 26624
Phone (304) 364-1046
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 3663 | WV | Yes |
Addresses
Primary practice location
527 Medical Park Dr Ste 500
Bridgeport, WV 26330-9010
Mailing address
527 Medical Park Dr Ste 500
Bridgeport, WV 26330-9010
Phone (681) 342-3600
Other practice location 1
617 River St
Gassaway, WV 26624-1137
Phone (304) 364-2401
Other practice location 2
100 Hoylman Dr
Gassaway, WV 26624-9318
Phone (304) 364-5156
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | zdennison119591@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Other providers in Bridgeport, WV
- Josandra Defazio
- Dino James Delaportas
- Ronalene Holt Delligatti
- Delta Lifestyle Solutions
- James J Demarco
- Dermatology Outreach, LLC
- Emily Devereux
- Angela M Dewees
- Breana Marie Dieringer
- Dustin Wayne Dilley
All providers in Bridgeport, WV · Family Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.