| Mcw Psych Care Md, Llc | |
|
4512 Nw 74th Ter Ocala FL 34482-6759 | |
| (352) 497-5920 | |
| (985) 317-1862 |
| Full Name | Mcw Psych Care Md, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4512 Nw 74th Ter, Ocala, Florida |
| Authorized Official Name and Position | Mark Christopher Walker (CEO/PRESIDENT) |
| Authorized Official Contact | 3524975920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcw Psych Care Md, Llc 4512 Nw 74th Ter Ocala FL 34482-6759 Ph: (352) 497-5920 | Mcw Psych Care Md, Llc 4512 Nw 74th Ter Ocala FL 34482-6759 Ph: (352) 497-5920 |
| NPI Number | 1699438549 |
|---|---|
| Provider Enumeration Date | 10/18/2021 |
| Last Update Date | 10/22/2021 |
| Certification Date | 10/22/2021 |
| Medicare PECOS PAC ID | 2365831666 |
|---|---|
| Medicare Enrollment ID | O20211108000533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699438549 | NPI | - | NPPES |
| 100556600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Mark C Walker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427318864 PECOS PAC ID: 8729224878 Enrollment ID: I20130417000131 |
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