| Mark T Witkowski, MD | |
|
1 Hospital Plz, Grafton, WV 26354-1283 | |
| (304) 265-7406 | |
| (304) 265-6443 |
| Full Name | Mark T Witkowski |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1 Hospital Plz, Grafton, 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 |
|---|---|---|---|
| 1659366052 | NPI | - | NPPES |
| 0053404000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16996 (West Virginia) | Primary |
| Entity Name | Preston Urgent Care Family Practice, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720358252 PECOS PAC ID: 9830366624 Enrollment ID: O20120119000167 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark T Witkowski, MD 709 Maple Ave, Grafton, WV 26354-1823 Ph: (304) 265-4131 | Mark T Witkowski, MD 1 Hospital Plz, Grafton, WV 26354-1283 Ph: (304) 265-7406 |
Dr. Thomas F Wilshire Iii, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Hospital Plz, Grafton, WV 26354 Phone: 304-265-7406 | |
Christopher Z Villaraza Ii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Market St, Grafton, WV 26354 Phone: 304-265-0400 Fax: 304-265-6417 | |
Dr. Edward P Brennan Ii, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Hospital Plz, Grafton, WV 26354 Phone: 304-265-0400 | |
Mr. Gregory Paul Selasky, MS, P.A.-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Plz, Grafton, WV 26354 Phone: 304-265-6416 | |
Andrew J Berardinelli, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Plz, Grafton, WV 26354 Phone: 304-265-0400 | |
Dr. Michael Raymond Hess, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 N Pike St, Grafton, WV 26354 Phone: 304-265-1350 |