- Medicare Primary Care in Brandywine, WV

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Brandywine, West Virginia. The current practice location for is 11480 Blue Gray Trail, Brandywine, West Virginia. For appointments, you can reach them via phone at (304) 249-5381. The mailing address for is Po Box 100, Franklin, West Virginia and phone number is (304) 358-2355.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1912314667. 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) 249-5381.

Contact Information

11480 Blue Gray Trail
Brandywine
WV 26802-0247
(304) 249-5381
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location11480 Blue Gray Trail, Brandywine, West Virginia
Authorized Official Name and PositionJamie Hudson (CEO)
Authorized Official Contact3043582355
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 100
Franklin
WV 26807-0100

Ph: (304) 358-2355
11480 Blue Gray Trail
Brandywine
WV 26802-0247

Ph: (304) 249-5381

NPI Details:

NPI Number1912314667
Provider Enumeration Date07/15/2014
Last Update Date07/19/2016

Medicare PECOS Information:

Medicare PECOS PAC ID3678470614
Medicare Enrollment IDO20141205001026

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912314667NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Reviews and Comments


Clinic/Center in Brandywine, 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.