MEDICARE: ELENA OKSENYCH PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AS0400X	Surgical Physician Assistant	3096	WV
2	363A00000X	Physician Assistant	3096	WV

General Provider Information

NPI Number	:	1275324501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELENA OKSENYCH PA

Provider Business Mailing Address
First Line	:	2000 MON HEALTH MEDICAL PARK DR STE 2300
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-1168
Country	:	US
Telephone Number	:	304-599-8802
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 MON HEALTH MEDICAL PARK DR STE 2300
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-1168
Country	:	US
Telephone Number	:	304-599-8802
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2025
Last Update Date	:	02/11/2026

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Directions to “ ELENA OKSENYCH PA” Practice Location

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