| Taylor A Mallicoat, | |
|
1 Medical Center Dr, Morgantown, WV 26506-1200 | |
| (304) 598-4000 | |
| Not Available |
| Full Name | Taylor A Mallicoat |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 6 Years |
| Location | 1 Medical Center Dr, Morgantown, West Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316502149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4611 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellmont Bristol Regional Medical Center | Bristol, TN | Hospital |
| Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
| Johnston Memorial Hospital | Abingdon, VA | Hospital |
| Greeneville Community Hospital | Greeneville, TN | Hospital |
| Russell County Hospital | Lebanon, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blue Ridge Radiology Pc | 7416860473 | 70 |
| Blue Ridge Radiology Pc | 7416860473 | 70 |
| Entity Name | Blue Ridge Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881687689 PECOS PAC ID: 7416860473 Enrollment ID: O20031106000638 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor A Mallicoat, Po Box 780, Morgantown, WV 26507-0780 Ph: (304) 598-4000 | Taylor A Mallicoat, 1 Medical Center Dr, Morgantown, WV 26506-1200 Ph: (304) 598-4000 |
Mike Lee, MD, MS, BS Radiology Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4051 | |
Robert Grammer, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4000 | |
Brian Markovich, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-293-3091 | |
Mr. Ashwin Pramod Deshmukh, MBBS Radiology Medicare: Not Enrolled in Medicare Practice Location: Po Box 9235, Morgantown, WV 26506 Phone: 304-293-3091 | |
Justin Addicks, Radiology Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 855-988-2273 | |
Mithra Kimyai-asadi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Stadium Dr, Morgantown, WV 26506 Phone: 304-293-2463 | |
Dr. Gary D Marano, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Stadium Dr, Morgantown, WV 26506 Phone: 304-598-4000 Fax: 304-293-6963 |