<unavail> in Buckhannon, WV - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Buckhannon, West Virginia. The current practice location for is Rr 6 Box 303, Buckhannon, West Virginia. For appointments, you can reach them via phone at (304) 472-1520. The mailing address for is Po Box 217, Rock Cave, West Virginia and phone number is (304) 924-6262.

is licensed to practice in West Virginia (license number 2287-7364). The clinic also participates in the medicare program and its NPI number is 1992144273. 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) 472-1520.

Contact Information


	Rr 6 Box 303 Buckhannon WV 26201-8830
	(304) 472-1520
	(304) 472-6864

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	Rr 6 Box 303, Buckhannon, West Virginia
Authorized Official Name and Position	Dora L Potasnik (CREDENTIALING)
Authorized Official Contact	3045872541
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 217 Rock Cave WV 26234-0217 Ph: (304) 924-6262	Rr 6 Box 303 Buckhannon WV 26201-8830 Ph: (304) 472-1520

NPI Details:

NPI Number	1992144273
Provider Enumeration Date	06/19/2013
Last Update Date	06/19/2013

Medicare PECOS Information:

Medicare PECOS PAC ID	0446232987
Medicare Enrollment ID	O20131029001913

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992144273	NPI	-	NPPES
2287-7374	Other	WV	BUSINESS LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	2287-7364 (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. acts as a billing entity for following providers:

Provider Name	Iris Mae Canete Trinidad Carillo
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1386873024 PECOS PAC ID: 3375791726 Enrollment ID: I20120910000910

Reviews and Comments

Clinic/Center in Buckhannon, WV

Community Care Of West Virginia, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 34 N Kanawha St, Buckhannon, WV 26201 Phone: 304-924-6262 Fax: 304-924-6699
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Bu Dr, Buckhannon, WV 26201 Phone: 304-472-3720 Fax: 304-472-0772
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 77 W Main St, Buckhannon, WV 26201 Phone: 304-473-5600 Fax: 304-472-1341
Community Care Of West Virginia, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 33 E Victoria St, Buckhannon, WV 26201 Phone: 304-924-6262 Fax: 304-924-5460
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4 Northridge Dr Ste 118, Buckhannon, WV 26201 Phone: 304-473-5660 Fax: 304-473-5661
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Amalia Dr, Suite B-1, Buckhannon, WV 26201 Phone: 304-473-2200 Fax: 304-473-2057
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 59 College Ave, Buckhannon, WV 26201 Phone: 304-924-6262 Fax: 304-924-5460

- Medicare Primary Care in Buckhannon, WV