| Mark W Puffenberger, MD | |
|
111 S Grove St Ste 1, Petersburg, WV 26847-1805 | |
| (304) 257-2451 | |
| (304) 257-1263 |
| Full Name | Mark W Puffenberger |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 40 Years |
| Location | 111 S Grove St Ste 1, Petersburg, 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 |
|---|---|---|---|
| 1124055314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD040604E (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grant Memorial Hospital | Petersburg, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| E A Hawse Health Center Inc | 6204728041 | 17 |
| Entity Name | E A Hawse Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851359251 PECOS PAC ID: 6204728041 Enrollment ID: O20040326000928 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark W Puffenberger, MD 17978 Sr 55, Baker, WV 26801-0097 Ph: (304) 897-5915 | Mark W Puffenberger, MD 111 S Grove St Ste 1, Petersburg, WV 26847-1805 Ph: (304) 257-2451 |
Larry Calvin Rogers, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7 Memorial Drive, Petersburg, WV 26847 Phone: 304-257-4511 Fax: 304-257-4511 | |
Dr. Dewey F Bensenhaver, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr Ste 1, Petersburg, WV 26847 Phone: 304-257-1944 Fax: 304-257-9524 | |
Solomon Mapeto Mutetwa, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 111 S Grove St Ste 1, Petersburg, WV 26847 Phone: 304-257-2451 |