| Mark Scott, DO | |
|
65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 | |
| (304) 848-5770 | |
| (304) 848-0890 |
| Full Name | Mark Scott |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 65 Professional Pl Ste 102103, Bridgeport, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992057277 | NPI | - | NPPES |
| 1992057277 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2012025740 (Missouri) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 3326 (West Virginia) | Primary |
| Entity Name | Valley Comprehensive Community Mental Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861476350 PECOS PAC ID: 8820902885 Enrollment ID: O20040114000000 |
| Entity Name | Appalachian Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639237837 PECOS PAC ID: 2668464090 Enrollment ID: O20040402001004 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Scott, DO 65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 Ph: (304) 848-5770 | Mark Scott, DO 65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 Ph: (304) 848-5770 |
Mr. Adnan Alghadban, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 527 Medical Park Drive, Ste. 204, Associated Specialists, Inc., Bridgeport, WV 26330 Phone: 304-933-3800 Fax: 304-933-3814 |
Dr. Frank Thomas Angotti Iii, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 120 Medical Park Dr, United Summit Center - Frank Angotti Md, Bridgeport, WV 26330 Phone: 304-848-2000 Fax: 304-848-2020 |
Dr. Benjamin Douglas Hines, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 65 Professional Pl Ste 101, Bridgeport, WV 26330 Phone: 304-848-5770 |
David Forrest Colvin, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1160 Johnson Ave, Suite 105, Bridgeport, WV 26330 Phone: 304-842-9084 Fax: 304-842-9085 |
Dr. Khaldoun Mohamad Mozahem, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 527 Medical Park Drive, Suite 204, Bridgeport, WV 26330 Phone: 304-933-3800 Fax: 304-933-3815 |
Dr. Daniel Mandel, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1000 |
Simon Mcclure, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1160 Johnson Ave, Suite 105, Bridgeport, WV 26330 Phone: 304-842-9084 Fax: 304-842-9085 |