Mr John Russell Atkinson, MS is a
Psychologist - Clinical based in Vienna, West Virginia. Mr John Russell Atkinson is licensed to practice in West Virginia (license number 309) and his current practice location is
1007 38th St, Vienna, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 295-9243.
NPI number for Mr John Russell Atkinson is 1104003524 and his current mailing address is 1007 38th St., Vienna, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104003524.
Healthcare Provider's Profile
| Full Name | Mr John Russell Atkinson |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 1007 38th St, Vienna, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104003524
- Provider Enumeration Date: 01/28/2008
- Last Update Date: 01/28/2008
Medical Identifiers
Medical identifiers for Mr John Russell Atkinson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104003524 | NPI | - | NPPES |
| 0165376000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 309 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr John Russell Atkinson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr John Russell Atkinson, MS
1007 38th St.,
Vienna, WV 26105-2741
Ph: (304) 295-9243 | Mr John Russell Atkinson, MS
1007 38th St,
Vienna, WV 26105-2741
Ph: (304) 295-9243 |
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