Mary Beth Mandich, PT | |
1 Medical Center Drive, 1206 Health Science Center South, Morgantown, WV 26506 | |
(304) 598-4800 | |
(304) 293-6963 |
Full Name | Mary Beth Mandich |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1 Medical Center 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 |
---|---|---|---|
1144296799 | NPI | - | NPPES |
3810000455 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 000374 (West Virginia) | Primary |
Provider Name | West Virginia University Medical Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
Mailing Address | Practice Location Address |
---|---|
Mary Beth Mandich, PT Po Box 897, Morgantown, WV 26507-0897 Ph: (304) 293-7401 | Mary Beth Mandich, PT 1 Medical Center Drive, 1206 Health Science Center South, Morgantown, WV 26506 Ph: (304) 598-4800 |
Meghan Metcalfe, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Drive, Morgantown, WV 26506 Phone: 304-598-4118 | |
Ms. Jaclyn Megan Sions, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1085 Van Voorhis Rd, Suite 200, Morgantown, WV 26505 Phone: 304-599-9250 Fax: 304-599-9254 | |
Dr. Nicholas Emmanuel Valachovic, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 705 Greenbag Rd, Morgantown, WV 26508 Phone: 304-292-2211 | |
Mrs. Tiffany A Bryan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3411 University Ave Ste 1, Morgantown, WV 26505 Phone: 304-598-3221 | |
Abigail Blake, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 943 Maple Dr, Morgantown, WV 26505 Phone: 304-599-2515 | |
Mrs. Lara Ann Hartzell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Edwin St, Morgantown, WV 26501 Phone: 304-292-0173 Fax: 304-292-0174 | |
Jordan Cheuvront, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3227 Earl L Core Rd, Morgantown, WV 26508 Phone: 304-225-0910 |