| Mark R Waddell, DO | |
|
1464 Jefferson St N, Lewisburg, WV 24901-1380 | |
| (304) 645-3220 | |
| (844) 479-4545 |
| Full Name | Mark R Waddell |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 36 Years |
| Location | 1464 Jefferson St N, Lewisburg, West Virginia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780741066 | NPI | - | NPPES |
| 0044268001 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 1317 (West Virginia) | Secondary |
| 207Q00000X | Family Medicine | 1317 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Greenbrier Valley Medical Center | Ronceverte, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Virginia School Of Osteopathic Medicine Clinic Inc | 0941113427 | 32 |
| Camc Greenbrier Valley Medical Center Inc | 1254702962 | 67 |
| Entity Name | West Virginia School Of Osteopathic Medicine Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871539296 PECOS PAC ID: 0941113427 Enrollment ID: O20031111000104 |
| Entity Name | Greenbrier Emergency Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568401461 PECOS PAC ID: 2668377359 Enrollment ID: O20031205000043 |
| Entity Name | Charleston Area Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
| Entity Name | Health Care Alliance, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730128760 PECOS PAC ID: 5799689105 Enrollment ID: O20050816000292 |
| Entity Name | West Virginia School Of Osteopathic Medicine Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013496991 PECOS PAC ID: 0941113427 Enrollment ID: O20210913003075 |
| Entity Name | West Virginia School Of Osteopathic Medicine Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093220303 PECOS PAC ID: 0941113427 Enrollment ID: O20210914002817 |
| Entity Name | Camc Greenbrier Valley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588373872 PECOS PAC ID: 1254702962 Enrollment ID: O20230118000113 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark R Waddell, DO 1464 Jefferson St N, Lewisburg, WV 24901-1380 Ph: (304) 645-3220 | Mark R Waddell, DO 1464 Jefferson St N, Lewisburg, WV 24901-1380 Ph: (304) 645-3220 |
Jennifer Nicole Rose, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 844-479-4545 | |
Theresa Katherine Stepanek, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 | |
James Yi, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Jefferson St, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 304-647-1372 | |
George F Boxwell, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 304-645-4103 | |
Christopher Paul Kennedy, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 | |
Thomas F Steele, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 N Jefferson St, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 304-645-4103 | |
Zachary J Comeaux, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 844-479-4545 |