MACKENZIE GWYNNE M.D. NPI 1780079665

NPI Details

Mackenzie Gwynne, M.D. is a student in an organized health care education training program in Morgantown, WV with 10 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Mackenzie Gwynne, M.D. NPI is 1780079665. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year:2015

The provider's business location address is:

1 MEDICAL CENTER DR.
4601
MORGANTOWN, WV
ZIP 26506
Phone: (304) 293-2463
Fax: (304) 293-5160

The NPI 1780079665 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Destruction of precancer skin growth, 1 growth (HCPCS:17000)
• Biopsy of related skin growth, first growth (HCPCS:11102)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Destruction of skin growth, 1-14 growths (HCPCS:17110)
• Biopsy of related skin growth, each additional growth (HCPCS:11103)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm (HCPCS:17262)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Biopsy of ear (HCPCS:69100)
• Punch biopsy, first skin growth (HCPCS:11104)
• Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 3/30/2015 and was last updated on 6/16/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: