| Mackenzee Watson, | |
|
1 Amalia Dr, Buckhannon, WV 26201-2239 | |
| (304) 473-2095 | |
| Not Available |
| Full Name | Mackenzee Watson |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1 Amalia Dr, Buckhannon, 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 |
|---|---|---|---|
| 1285432294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2276 (West Virginia) | Primary |
| 235Z00000X | Speech-language Pathologist | 14366839 (West Virginia) | Secondary |
| Provider Name | St Joseph's Hospital Of Buckhannon Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124005061 PECOS PAC ID: 6709828163 Enrollment ID: O20050525000839 |
| Provider Name | St Joseph's Hospital Of Buckhannon Inc |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1124005061 PECOS PAC ID: 6709828163 Enrollment ID: O20230204000431 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzee Watson, 1 Amalia Dr, Buckhannon, WV 26201-2239 Ph: () - | Mackenzee Watson, 1 Amalia Dr, Buckhannon, WV 26201-2239 Ph: (304) 473-2095 |
Nancy H Crossett, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 102 Smithfield St, Buckhannon, WV 26201 Phone: 304-624-6554 Fax: 304-624-5223 | |
Michael Mendicino, MS,SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 102 Smithfield St, Buckhannon, WV 26201 Phone: 304-624-6554 Fax: 304-624-5223 | |
Connie H Everett, MS,CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 102 Smithfield St, Buckhannon, WV 26201 Phone: 304-624-6554 Fax: 304-624-5223 | |
Emily Ross, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 102 Smithfield St, Buckhannon, WV 26201 Phone: 304-624-6554 Fax: 304-624-5223 | |
Mrs. Elizabeth Ann H Mcclain, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 102 Smithfield St, Buckhannon, WV 26201 Phone: 304-624-6554 Fax: 304-624-5223 | |
Tamara Neal Smithson, MA ED CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 102 Smithfield St, Buckhannon, WV 26201 Phone: 304-624-6554 Fax: 304-624-5223 |