Big Otter Elementary School Wellness Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Duck, West Virginia. The current practice location for Big Otter Elementary School Wellness Center is 59 Ossia Rd, Duck, West Virginia. For appointments, you can reach them via phone at
(304) 286-2838. The mailing address for Big Otter Elementary School Wellness Center is Po Box 217, Rock Cave, West Virginia and phone number is (304) 924-6262.
Big Otter Elementary School Wellness Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1619103041. 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) 286-2838.
Primary Care Clinic Profile
Full Name | Big Otter Elementary School Wellness Center |
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Speciality | Clinic/Center |
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Location | 59 Ossia Rd, Duck, West Virginia |
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Authorized Official Name and Position | Dora L Potasnik (CREDENTIALING COORDINATOR) |
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Authorized Official Contact | 3043177275 |
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Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Big Otter Elementary School Wellness Center Po Box 217 Rock Cave WV 26234-0217 Ph: (304) 924-6262 | Big Otter Elementary School Wellness Center 59 Ossia Rd Duck WV 25063-8500 Ph: (304) 286-2838 |
NPI Details:
NPI Number | 1619103041 |
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Provider Enumeration Date | 05/29/2009 |
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Last Update Date | 03/30/2022 |
Medicare PECOS Information:
Medicare PECOS PAC ID | 0648189258 |
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Medicare Enrollment ID | O20091201000701 |
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Medical Identifiers
Medical identifiers for Big Otter Elementary School Wellness Center such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619103041 | NPI | - | NPPES |
3810017436 | Medicaid | WV | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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