| Mrs Beena Narendra Mazza, MPT | |
|
4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | |
| (304) 766-3589 | |
| (304) 766-3793 |
| Full Name | Mrs Beena Narendra Mazza |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 4605 Maccorkle Ave Sw, South 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 |
|---|---|---|---|
| 1134332570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2579 (West Virginia) | Primary |
| Provider Name | Stonewall Jackson Memorial Hospital Company |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477559433 PECOS PAC ID: 4284530551 Enrollment ID: O20040130000739 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Beena Narendra Mazza, MPT 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 Ph: (304) 766-3589 | Mrs Beena Narendra Mazza, MPT 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 Ph: (304) 766-3589 |
Miss Cynthia Jean Carr, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Lincoln Dr, South Charleston, WV 25309 Phone: 304-768-4400 | |
Mrs. Julie V Guidry, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3589 Fax: 304-766-3793 | |
Lucas J. Gregory, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 313 Maccorkle Ave Sw, South Charleston, WV 25303 Phone: 304-744-2300 Fax: 304-744-8195 | |
Robert Mears, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3589 Fax: 304-766-3793 | |
Matthew Owen Guidry, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3589 | |
Courtny Beth Davis Olds, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Rhl Blvd, Suite 202, South Charleston, WV 25309 Phone: 304-746-9200 Fax: 304-746-9202 |