| Mustafa Mukati, NP | |
|
415 Morris St Ste 300, Charleston, WV 25301-1853 | |
| (304) 388-6441 | |
| Not Available |
| Full Name | Mustafa Mukati |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 415 Morris St Ste 300, Charleston, 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 |
|---|---|---|---|
| 1922563360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN282618 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 121343 (West Virginia) | Primary |
| Entity Name | Medical Associates Professional Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083041867 PECOS PAC ID: 1355578485 Enrollment ID: O20131218000364 |
| Entity Name | Central Georgia Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598126641 PECOS PAC ID: 5991004608 Enrollment ID: O20160502001926 |
| Mailing Address | Practice Location Address |
|---|---|
| Mustafa Mukati, NP 400 Association Dr Ste 102, Charleston, WV 25311-1298 Ph: (304) 388-0053 | Mustafa Mukati, NP 415 Morris St Ste 300, Charleston, WV 25301-1853 Ph: (304) 388-6441 |
Stephanie Lynn Legg, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2345 Chesterfield Ave Ste 302, Charleston, WV 25304 Phone: 681-205-8610 Fax: 681-205-8615 | |
Ms. Brenda Lou Keefer, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-925-3436 | |
Brenda Moody Walker, RN,MSN,CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4407 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-925-0392 Fax: 304-825-0392 | |
Janice K Kaufman, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3100 Maccorkle Ave, Suite 709, Charleston, WV 25304 Phone: 304-342-1184 Fax: 304-343-8487 | |
Mrs. Cari Stover, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4307 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-205-6123 | |
Mrs. Carolyn Sue Green, APRN FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 Washington St W, Charleston, WV 25302 Phone: 304-344-9834 Fax: 304-344-1756 | |
Mrs. Megan Kaye Vineyard, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3415 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-8380 |