Dr Mark Bannon, DO is a
Student In An Organized Health Care Education/training Program physician based in Huntington, West Virginia. Dr Mark Bannon is licensed to practice in * (Not Available) (license number ) and his current practice location is 1600 Medical Center Dr, Huntington, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 691-1095.
NPI number for Dr Mark Bannon is 1326613936 and his current mailing address is 1400 E Downing St, Tahlequah, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326613936.
Physician's Profile
| Full Name | Dr Mark Bannon |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1600 Medical Center Dr, Huntington, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1326613936
- Provider Enumeration Date: 05/25/2021
- Last Update Date: 07/16/2024
Medical Identifiers
Medical identifiers for Dr Mark Bannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326613936 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 7692 (Oklahoma) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | 7692 (Oklahoma) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 7692 (Oklahoma) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Dr Mark Bannon 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 |
|---|
Dr Mark Bannon, DO
1400 E Downing St,
Tahlequah, OK 74464-3324
Ph: (918) 456-0641 | Dr Mark Bannon, DO
1600 Medical Center Dr,
Huntington, WV 25701-3656
Ph: (304) 691-1095 |
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