Kevin M Clarke, MD | |
48 Vip Way, Fairmont, WV 26554 | |
(304) 366-6200 | |
(304) 366-4927 |
Full Name | Kevin M Clarke |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 38 Years |
Location | 48 Vip Way, Fairmont, West Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487664835 | NPI | - | NPPES |
001722242 | Other | WV | BCBS WV |
0041752000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 15547 (West Virginia) | Secondary |
207P00000X | Emergency Medicine | 15547 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Medical Center | Ashland, WI | Hospital |
Garrett County Memorial Hospital | Oakland, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Professional Emergency Physician Services, Llc | 5395728687 | 13 |
Memorial Medical Center Inc | 8022000447 | 38 |
Entity Name | Meritus Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205176393 PECOS PAC ID: 7113811795 Enrollment ID: O20040212000950 |
Entity Name | Professional Emergency Physician Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477554129 PECOS PAC ID: 5395728687 Enrollment ID: O20040609000034 |
Mailing Address | Practice Location Address |
---|---|
Kevin M Clarke, MD 200 Rt 98 West, Suite 107, Nutter Fort, WV 26301 Ph: (304) 623-5711 | Kevin M Clarke, MD 48 Vip Way, Fairmont, WV 26554 Ph: (304) 366-6200 |
Ronald Chevine Fleming, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Locust Avenue, Fairmont, WV 26554 Phone: 304-367-7100 Fax: 304-799-2229 | |
Jennifer Shreves, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 140 Middletown Loop, Fairmont, WV 26554 Phone: 304-333-1150 Fax: 304-333-1169 | |
Dr. Matthew Francis Verona, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1325 Locust Ave, Fairmont, WV 26554 Phone: 304-367-7100 | |
Dr. Nathan C Berry, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Meadowlane Ave, Fairmont, WV 26554 Phone: 256-443-4743 | |
Dr. Jonathan Roy Logan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Locust Ave, Fairmont, WV 26554 Phone: 304-367-7100 | |
Dr. Robert Clayton Thompson Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 238 Colfax Camp Rd, Fairmont, WV 26554 Phone: 304-216-3412 | |
Gloria Daemi Kayfan, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 Middletown Loop, Fairmont, WV 26554 Phone: 304-333-1150 |