Dr Andrew H Mace Jr, MD | |
101 Stadium Dr, Morgantown, WV 26506-7911 | |
(304) 598-4000 | |
(304) 293-6963 |
Full Name | Dr Andrew H Mace Jr |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 45 Years |
Location | 101 Stadium Dr, Morgantown, West Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700846953 | NPI | - | NPPES |
0123464000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085N0904X | Radiology - Nuclear Radiology | 12312 (West Virginia) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 12312 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
West Virginia University Hospitals | Morgantown, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Virginia University Medical Corporation | 1052224565 | 1621 |
Entity Name | West Virginia University Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
Mailing Address | Practice Location Address |
---|---|
Dr Andrew H Mace Jr, MD Po Box 897, Morgantown, WV 26507-0897 Ph: (304) 293-7401 | Dr Andrew H Mace Jr, MD 101 Stadium Dr, Morgantown, WV 26506-7911 Ph: (304) 598-4000 |
Robert Grammer, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4000 | |
Brian Markovich, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-293-3091 | |
Mithra Kimyai-asadi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Stadium Dr, Morgantown, WV 26506 Phone: 304-293-2463 | |
Dr. Gary D Marano, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Stadium Dr, Morgantown, WV 26506 Phone: 304-598-4000 Fax: 304-293-6963 | |
Larissa Casaburi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6040 University Town Centre Dr, Morgantown, WV 26501 Phone: 304-293-6307 | |
Dr. Robert J Tallaksen, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 101 Stadium Dr, Morgantown, WV 26506 Phone: 304-598-4000 Fax: 304-293-6963 | |
Zalak Patel, Radiology Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-293-2463 Fax: 304-293-5160 |