| Country Doctors | |
|
658 Burke Rd Masontown WV 26542-0000 | |
| (304) 864-4362 | |
| (304) 864-4366 |
| Full Name | Country Doctors |
|---|---|
| Speciality | Family Medicine |
| Location | 658 Burke Rd, Masontown, West Virginia |
| Authorized Official Name and Position | Vicky Lynn Mays (AO) |
| Authorized Official Contact | 3048644362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Country Doctors 658 Burke Rd Masontown WV 26542-0000 Ph: (304) 864-4362 | Country Doctors 658 Burke Rd Masontown WV 26542-0000 Ph: (304) 864-4362 |
| NPI Number | 1497161624 |
|---|---|
| Provider Enumeration Date | 07/09/2014 |
| Last Update Date | 07/10/2022 |
| Medicare PECOS PAC ID | 9032435136 |
|---|---|
| Medicare Enrollment ID | O20150309001316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497161624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2571 (West Virginia) | Primary |
| Provider Name | Vicky Lynn Mays |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710142278 PECOS PAC ID: 9830354265 Enrollment ID: I20120709000759 |
| Provider Name | Albert G Mays |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861786568 PECOS PAC ID: 9133340946 Enrollment ID: I20141021000294 |