Mark Anthony Raymond, DMD is a
Dentist - General Practice based in Coeburn, Virginia. Mark Anthony Raymond is licensed to practice in Virginia (license number 0401410712) and his current practice location is
208 Front St W, Coeburn, Virginia. He can be reached at his office (for appointments etc.) via phone at
(276) 395-6632.
NPI number for Mark Anthony Raymond is 1245217074 and his current mailing address is Po Box 2214, Coeburn, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245217074.
Healthcare Provider's Profile
Full Name | Mark Anthony Raymond |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 208 Front St W, Coeburn, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245217074
- Provider Enumeration Date: 12/22/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mark Anthony Raymond such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245217074 | NPI | - | NPPES |
146346 | Other | VA | BLUE CROSS BLUE SHIELD |
9179077 | Medicaid | VA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 0401410712 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Anthony Raymond is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mark Anthony Raymond, DMD Po Box 2214, Coeburn, VA 24230-2214 Ph: (276) 395-6632 | Mark Anthony Raymond, DMD 208 Front St W, Coeburn, VA 24230-3502 Ph: (276) 395-6632 |
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