Dr Clemente Campos Diaz, MD is a
Family Medicine physician based in Richwood, West Virginia. Dr Clemente Campos Diaz is licensed to practice in West Virginia (license number 09181) and his current practice location is 75 Avenue B, Richwood, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 846-2573.
NPI number for Dr Clemente Campos Diaz is 1295727675 and his current mailing address is 75 Avenue B, Richwood, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295727675.
Physician's Profile
Full Name | Dr Clemente Campos Diaz |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 75 Avenue B, Richwood, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295727675
- Provider Enumeration Date: 08/22/2005
- Last Update Date: 07/09/2009
Medical Identifiers
Medical identifiers for Dr Clemente Campos Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295727675 | NPI | - | NPPES |
0127946000 | Medicaid | WV | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 09181 (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. Dr Clemente Campos Diaz 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 |
Dr Clemente Campos Diaz, MD 75 Avenue B, Richwood, WV 26261-1236 Ph: (304) 846-2573 | Dr Clemente Campos Diaz, MD 75 Avenue B, Richwood, WV 26261-1236 Ph: (304) 846-2573 |
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