Andres L. Rago Md Pc is a medicare enrolled primary clinic (Family Medicine) in Keystone, West Virginia. The current practice location for Andres L. Rago Md Pc is 135 Main Street, Keystone, West Virginia. For appointments, you can reach them via phone at
(304) 862-4611. The mailing address for Andres L. Rago Md Pc is Hc 52 Box 135, Keystone, West Virginia and phone number is (304) 862-4611.
Andres L. Rago Md Pc is licensed to practice in West Virginia (license number 11441). The clinic also participates in the medicare program and its
NPI number is 1114096161. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(304) 862-4611.
Primary Care Clinic Profile
| Full Name | Andres L. Rago Md Pc |
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| Speciality | Family Medicine |
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| Location | 135 Main Street, Keystone, West Virginia |
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| Authorized Official Name and Position | Andres L. Rago (PRESIDENT) |
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| Authorized Official Contact | 3048624611 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Andres L. Rago Md Pc
Hc 52 Box 135
Keystone
WV 24852-7501
Ph: (304) 862-4611 | Andres L. Rago Md Pc
135 Main Street
Keystone
WV 24852
Ph: (304) 862-4611 |
NPI Details:
| NPI Number | 1114096161 |
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| Provider Enumeration Date | 11/06/2006 |
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| Last Update Date | 03/11/2008 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 8224113204 |
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| Medicare Enrollment ID | O20080314000506 |
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Medical Identifiers
Medical identifiers for Andres L. Rago Md Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114096161 | NPI | - | NPPES |
| 1300188 | Other | WV | CAREMARK |
| 0042438000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 11441 (West Virginia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Andres L. Rago Md Pc acts as a billing entity for following providers:
| Provider Name | Andres L Rago |
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| Provider Type | Practitioner - General Practice |
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| Provider Identifiers | NPI Number: 1508808007
PECOS PAC ID: 3173543147
Enrollment ID: I20051206000289 |
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