Mackenzie James Clarkson (NPI# 1073908034, PAC ID# 4789987322) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1073908034 |
| PAC ID by PECOS | 4789987322 |
| Professional Enrollment ID | I20190903001384 |
| Full Name | Mackenzie James Clarkson |
| Organization Legal Name | WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION |
| Address |
14 Comfort Dr Reedsville WV 26547-0359 |
| Phone Number | 3048640006 |
| Gender | M |
| Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 1052224565 |
| Number of Group Practice Members | 1143 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510001 | WEST VIRGINIA UNIVERSITY HOSPITALS |
| 511312 | PRESTON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 14 Comfort Dr, Reedsville, WV 26547-0359 | 3048640006 | WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION |
| Organization Legal Name | WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION |
| Physicians | 1207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Molly Ober Fechter-leggett | Psychologist, Clinical | West Virginia University Medical Corporation | 3602 Collins Ferry Rd, Morgantown, WV 26505-2378 |
| Matraca Hovatter | Nurse Practitioner | West Virginia University Medical Corporation | 250 Retail Cir, Suite 106, Morgantown, WV 26508-1647 |
| Farheen Shirazi | Cardiovascular Disease (cardiology) | West Virginia University Medical Corporation | 13079 Garrett Hwy, Uha Oakland Ckd Clinic, Oakland, MD 21550 |
| Kristin Wendell | Nurse Practitioner | West Virginia University Medical Corporation | 205 Bakers Ridge Rd, Morgantown, WV 26508-1500 |
| Emily Butler | Physician Assistant | West Virginia University Medical Corporation | 3803 Emerson Ave, Parkersburg, WV 26104-1116 |
| Irfan Zeb | Internal Medicine | West Virginia University Medical Corporation | 426 8th St, Glen Dale, WV 26038-1451 |
| Binu T Chacko | Internal Medicine | West Virginia University Medical Corporation | 2601 Cranberry Sq, Morgantown, WV 26508-9201 |
| Jada Lauren Powell | Nurse Practitioner | West Virginia University Medical Corporation | 30 Mon General Dr, Morgantown, WV 26505-2853 |
| Omar Duenas | Obstetrics/gynecology | West Virginia University Medical Corporation | 1160 Van Voorhis Rd, Morgantown, WV 26505-3435 |
| Meredith Liddle | Physician Assistant | West Virginia University Medical Corporation | 943 Maple Dr, Level, Morgantown, WV 26505-2812 |
| Street Address |
14 COMFORT DR |
| City | REEDSVILLE |
| State | WV |
| Zip | 26547-0359 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia C Clarkson | Internal Medicine | West Virginia University Medical Corporation | 14 Comfort Dr, Reedsville, WV 26547-0359 |
| Jennifer Lynn Turner | Nurse Practitioner | West Virginia University Medical Corporation | 14 Comfort Dr, Reedsville, WV 26547-0359 |
| City | REEDSVILLE |
| Zip Code | 26547 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | REEDSVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mackenzie James Clarkson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.