- Medicare Primary Care in Scarbro, WV

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Scarbro, West Virginia. The current practice location for is 908 Scarbro Road, Scarbro, West Virginia. For appointments, you can reach them via phone at (304) 469-2905. The mailing address for is 497 Mall Rd, Oak Hill, West Virginia and phone number is (304) 469-2905.

is licensed to practice in West Virginia (license number 1036-9138). The clinic also participates in the medicare program and its NPI number is 1811983331. 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) 469-2905.

Contact Information

908 Scarbro Road
Scarbro
WV 25917
(304) 469-2905
(304) 465-5486

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location908 Scarbro Road, Scarbro, West Virginia
Authorized Official Name and PositionJohn R. Schultz (EXECUTIVE DIRECTOR)
Authorized Official Contact3044692905
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

497 Mall Rd
Oak Hill
WV 25901-6216

Ph: (304) 469-2905
908 Scarbro Road
Scarbro
WV 25917

Ph: (304) 469-2905

NPI Details:

NPI Number1811983331
Provider Enumeration Date09/20/2005
Last Update Date10/09/2023

Medicare PECOS Information:

Medicare PECOS PAC ID2365348596
Medicare Enrollment IDO20071009000136

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811983331NPI-NPPES
0035165000MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) 1036-9138 (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 NameJuddson Lindley
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1245393107
PECOS PAC ID: 5799675245
Enrollment ID: I20040318000023
Provider NameChristopher Grose
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1740348234
PECOS PAC ID: 6608763149
Enrollment ID: I20051101000983
Provider NameJames M Kyle
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1306813704
PECOS PAC ID: 5799785796
Enrollment ID: I20090819000504
Provider NameJerry L Pennington
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1568655413
PECOS PAC ID: 0840337481
Enrollment ID: I20091030000097
Provider NameKerri Elizabeth White
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1427113299
PECOS PAC ID: 1557547668
Enrollment ID: I20110525000172
Provider NameLora Fisher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700213436
PECOS PAC ID: 8325261308
Enrollment ID: I20140520000996
Provider NameJeremiah David Miller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023257599
PECOS PAC ID: 9931233129
Enrollment ID: I20161017000499
Provider NameJoel R Whitaker
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1568425874
PECOS PAC ID: 0547540510
Enrollment ID: I20161208001127
Provider NameRebecca Dilly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831508951
PECOS PAC ID: 7214279850
Enrollment ID: I20190430001962
Provider NameAmity L Boblits
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1780650416
PECOS PAC ID: 4486066263
Enrollment ID: I20201221000317
Provider NameBrittney Nicole Menei
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942892120
PECOS PAC ID: 6800202995
Enrollment ID: I20210316001365
Provider NameLeisa Robinson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1760927271
PECOS PAC ID: 1557694924
Enrollment ID: I20210712003391
Provider NameLisa Perdue
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1922544097
PECOS PAC ID: 5294097440
Enrollment ID: I20210715000767
Provider NameJoseph Allen Douglas
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1992231674
PECOS PAC ID: 5496147001
Enrollment ID: I20220111001944
Provider NameCassandra Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952187486
PECOS PAC ID: 6103272240
Enrollment ID: I20231026001752
Provider NameCheyenne N Parker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851133482
PECOS PAC ID: 7719428630
Enrollment ID: I20240919000492

Reviews and Comments


Clinic/Center in Scarbro, WV


Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 57 Sutphin Ln, Scarbro, WV 25917
Phone: 304-469-3345    Fax: 304-469-2981

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.