- Medicare Primary Care in Davenport, VA

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Davenport, Virginia. The current practice location for is Route 80, Davenport, Virginia. For appointments, you can reach them via phone at (276) 859-0859. The mailing address for is 4124 Council Mountain Rd, Honaker, Virginia and phone number is (276) 859-0859.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1992827604. 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 (276) 859-0859.

Contact Information

Route 80
Davenport
VA 24239
(276) 859-0859
(276) 859-0587

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
LocationRoute 80, Davenport, Virginia
Authorized Official Name and PositionMalcolm Perdue (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact2765465310
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

4124 Council Mountain Rd
Honaker
VA 24260-4994

Ph: (276) 859-0859
Route 80
Davenport
VA 24239

Ph: (276) 859-0859

NPI Details:

NPI Number1992827604
Provider Enumeration Date04/04/2007
Last Update Date07/21/2021

Medicare PECOS Information:

Medicare PECOS PAC ID0244124584
Medicare Enrollment IDO20070612000398

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992827604NPI-NPPES
007602995MedicaidVA

Medical Taxonomies and Licenses

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

Reviews and Comments


Clinic/Center in Davenport, VA


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.