Samuel Clayton Mackay, DPT | |
5928 Seminole Trl Ste 103, Barboursville, VA 22923-2872 | |
(434) 985-2198 | |
Not Available |
Full Name | Samuel Clayton Mackay |
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Gender | Male |
Speciality | Physical Therapist |
Location | 5928 Seminole Trl Ste 103, Barboursville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1619678711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 2305215590 (Virginia) | Primary |
Provider Name | Phoenix Rehabilitation And Health Services Of Virginia Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1336155845 PECOS PAC ID: 8729026943 Enrollment ID: O20050419000905 |
Mailing Address | Practice Location Address |
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Samuel Clayton Mackay, DPT Po Box 392573, Pittsburgh, PA 15251-9573 Ph: (724) 343-4060 | Samuel Clayton Mackay, DPT 5928 Seminole Trl Ste 103, Barboursville, VA 22923-2872 Ph: (434) 985-2198 |
Kira Memery, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5928 Seminole Trl, Suite 103, Barboursville, VA 22923 Phone: 434-985-2198 Fax: 434-985-3227 | |
Martine Barre, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6420 Seminole Trl, L4, Barboursville, VA 22923 Phone: 434-939-9524 Fax: 434-939-9679 | |
Aileen Marie Mckernan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 5924 Seminole Trl, Suite 108, Barboursville, VA 22923 Phone: 434-985-2198 |