Dr Mark J Polak, MD | |
1 Stadium Drive, Morgantown, WV 26506 | |
(304) 598-4800 | |
(304) 598-6873 |
Full Name | Dr Mark J Polak |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1 Stadium Drive, Morgantown, 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 |
---|---|---|---|
1265512255 | NPI | - | NPPES |
0105897000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 13579 (West Virginia) | Primary |
Entity Name | West Virginia University Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
Entity Name | Wheeling Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548923923 PECOS PAC ID: 5799689493 Enrollment ID: O20031124000706 |
Entity Name | Reynolds Memorial Hospital, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518068014 PECOS PAC ID: 9830184530 Enrollment ID: O20040420000896 |
Entity Name | St Joseph's Hospital Of Buckhannon Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124005061 PECOS PAC ID: 6709828163 Enrollment ID: O20050525000839 |
Entity Name | University Healthcare Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659625739 PECOS PAC ID: 8325291404 Enrollment ID: O20130124000127 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark J Polak, MD Po Box 897, Morgantown, WV 26507-0897 Ph: (304) 293-7401 | Dr Mark J Polak, MD 1 Stadium Drive, Morgantown, WV 26506 Ph: (304) 598-4800 |
Dr. Kathryn S Moffett, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Stadium Drive, Morgantown, WV 26506 Phone: 304-598-4800 Fax: 304-598-6061 | |
Rupesh Kumar Natarajan, Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-293-4451 | |
Dr. Melissa Albert, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1000 Mon Health Medical Park Dr Ste 1202, Morgantown, WV 26505 Phone: 304-599-1975 Fax: 304-599-2705 | |
Dr. Panitan Yossuck, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Stadium Drive, Morgantown, WV 26506 Phone: 304-598-4800 Fax: 304-293-6963 | |
Audra Suzanne Rouster, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, 9214, Morgantown, WV 26506 Phone: 304-293-1017 | |
Martin Edward Weisse, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4800 | |
Dr. Shipra Gupta, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4800 |