| Mackenzie James Clarkson, MD | |
|
1377 Locust Ave, Fairmont, WV 26554-1791 | |
| (304) 363-3500 | |
| (304) 366-4073 |
| Full Name | Mackenzie James Clarkson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 11 Years |
| Location | 1377 Locust Ave, Fairmont, West Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073908034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 27820 (West Virginia) | Secondary |
| 207R00000X | Internal Medicine | 27820 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Virginia University Hospitals | Morgantown, WV | Hospital |
| United Hospital Center | Bridgeport, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Virginia University Medical Corporation | 1052224565 | 1722 |
| Entity Name | West Virginia University Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie James Clarkson, MD Po Box 9186, Morgantown, WV 26506-9186 Ph: (304) 293-1224 | Mackenzie James Clarkson, MD 1377 Locust Ave, Fairmont, WV 26554-1791 Ph: (304) 363-3500 |
Dr. Mohammad Roidad, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1614 Locust Ave, Fairmont, WV 26554 Phone: 304-363-6659 Fax: 304-366-3464 | |
Eugenio Aldea Menez, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1714 Locust Ave, Fairmont, WV 26554 Phone: 304-363-3714 Fax: 304-363-6850 | |
Bonnie Diep, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1377 Locust Ave, Fairmont, WV 26554 Phone: 304-363-3500 | |
Spencer Ollayos, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Locust Ave, Fairmont, WV 26554 Phone: 045-347-8103 | |
Dr. Ryan Christopher Hall, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1322 Locust Ave, Fairmont, WV 26554 Phone: 304-366-0700 Fax: 304-366-9529 | |
Dr. Cory Andrew Smith, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Village Dr, Fairmont, WV 26554 Phone: 304-366-2600 Fax: 304-366-2080 | |
Ms. Ojaswi Singh Tomar, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 31 Landing Ln, Fairmont, WV 26554 Phone: 304-598-4855 |