Mark Peterson, | |
111 Great Teays Blvd Ste 101, Scott Depot, WV 25560-9548 | |
(304) 757-8803 | |
(304) 757-6904 |
Full Name | Mark Peterson |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 111 Great Teays Blvd Ste 101, Scott Depot, 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 |
---|---|---|---|
1477043842 | NPI | - | NPPES |
Entity Name | Valley Health Systems, Inc |
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Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1902962368 PECOS PAC ID: 9931017969 Enrollment ID: O20040325000411 |
Entity Name | Hhc River Park Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477622603 PECOS PAC ID: 2365478252 Enrollment ID: O20051206000168 |
Entity Name | Valley Health Systems, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720333461 PECOS PAC ID: 9931017969 Enrollment ID: O20130319000031 |
Entity Name | Valley Health Systems, Inc |
---|---|
Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1548542277 PECOS PAC ID: 9931017969 Enrollment ID: O20130415000484 |
Entity Name | Valley Health Systems, Inc |
---|---|
Entity Type | Part A Provider - Federally Qualified Health Center (fqhc) |
Entity Identifiers | NPI Number: 1881054476 PECOS PAC ID: 9931017969 Enrollment ID: O20160318000254 |
Mailing Address | Practice Location Address |
---|---|
Mark Peterson, Po Box 1680, Huntington, WV 25717-1680 Ph: (304) 781-5159 | Mark Peterson, 111 Great Teays Blvd Ste 101, Scott Depot, WV 25560-9548 Ph: (304) 757-8803 |
Sanjay Stanley Masilamani, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 97 Great Teays Blvd Ste 6, Scott Depot, WV 25560 Phone: 304-757-6999 Fax: 304-201-5019 |