- Medicare Primary Care in Ivydale, WV

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Ivydale, West Virginia. The current practice location for is 797 Clinic Dr, Ivydale, West Virginia. For appointments, you can reach them via phone at (304) 286-4200. The mailing address for is Po Box 147, Clay, West Virginia and phone number is (304) 587-7301.

is licensed to practice in West Virginia (license number 550630765002). The clinic also participates in the medicare program and its NPI number is 1992754592. 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) 286-4200.

Contact Information

797 Clinic Dr
Ivydale
WV 25113-8263
(304) 286-4200
(304) 286-2107

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location797 Clinic Dr, Ivydale, West Virginia
Authorized Official Name and PositionDora L Potasnik (CREDENTIALING)
Authorized Official Contact3045872541
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 147
Clay
WV 25043-0147

Ph: (304) 587-7301
797 Clinic Dr
Ivydale
WV 25113-8263

Ph: (304) 286-4200

NPI Details:

NPI Number1992754592
Provider Enumeration Date05/09/2006
Last Update Date01/19/2024

Medicare PECOS Information:

Medicare PECOS PAC ID0446232987
Medicare Enrollment IDO20120904000371

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992754592NPI-NPPES
001898548OtherWVMS BCBS
0035398000MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) 550630765002 (West Virginia)Primary

Reviews and Comments


Clinic/Center in Ivydale, WV


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.