South Harrison Middle School Wellness Center - Medicare Primary Care in Lost Creek, WV

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South Harrison Middle School Wellness Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Lost Creek, West Virginia. The current practice location for South Harrison Middle School Wellness Center is Rr 1 Box 58b, Lost Creek, West Virginia. For appointments, you can reach them via phone at (304) 326-7460. The mailing address for South Harrison Middle School Wellness Center is Rr 1 Box 58b, Lost Creek, West Virginia and phone number is (304) 326-7460.

South Harrison Middle School Wellness Center is licensed to practice in West Virginia (license number 2273-6225). The clinic also participates in the medicare program and its NPI number is 1699024547. 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) 326-7460.

Contact Information

South Harrison Middle School Wellness Center
Rr 1 Box 58b
Lost Creek
WV 26385-9707
(304) 326-7460
(304) 745-5587

Map and Direction


Primary Care Clinic Profile

Full NameSouth Harrison Middle School Wellness Center
SpecialityClinic/Center
LocationRr 1 Box 58b, Lost Creek, West Virginia
Authorized Official Name and PositionDora L Potasnik (CREDENTIALING COORDINATOR)
Authorized Official Contact3045615319
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
South Harrison Middle School Wellness Center
Rr 1 Box 58b
Lost Creek
WV 26385-9707

Ph: (304) 326-7460		South Harrison Middle School Wellness Center
Rr 1 Box 58b
Lost Creek
WV 26385-9707

Ph: (304) 326-7460

NPI Details:

NPI Number1699024547
Provider Enumeration Date09/06/2012
Last Update Date03/21/2019

Medicare PECOS Information:

Medicare PECOS PAC ID0446232987
Medicare Enrollment IDO20130226000587

Medical Identifiers

Medical identifiers for South Harrison Middle School Wellness Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699024547NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) 2273-6225 (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. South Harrison Middle School Wellness Center acts as a billing entity for following providers:
Provider NameSarah Chouinard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023087954
PECOS PAC ID: 0042118127
Enrollment ID: I20031229000189
Provider NameChristine L Jones
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801865290
PECOS PAC ID: 6406824572
Enrollment ID: I20040923000906
Provider NameJennifer A Lambert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790739464
PECOS PAC ID: 4688678519
Enrollment ID: I20060908000049
Provider NameAngela Gfayle Carter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083806277
PECOS PAC ID: 1254429004
Enrollment ID: I20071113000365
Provider NameLesley Ann Groves
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497936173
PECOS PAC ID: 6800971268
Enrollment ID: I20080310000142
Provider NameRaymond Patrick Leonard
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1376769984
PECOS PAC ID: 7810068764
Enrollment ID: I20080619000753
Provider NameAimee Michelle Whitehair
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003093097
PECOS PAC ID: 9335217363
Enrollment ID: I20081004000001
Provider NameKelly W Dunavant
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609047109
PECOS PAC ID: 9335202803
Enrollment ID: I20090108000795
Provider NameChris Neil Kennedy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326225350
PECOS PAC ID: 7214082551
Enrollment ID: I20090910000027
Provider NameGregory M Peters
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033351234
PECOS PAC ID: 1759566599
Enrollment ID: I20110421000221
Provider NameGenevieve F Dunn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861708513
PECOS PAC ID: 5597924175
Enrollment ID: I20120319000205
Provider NameIris Mae Canete Trinidad Carillo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386873024
PECOS PAC ID: 3375791726
Enrollment ID: I20120910000910
Provider NameJoshua S Abbott
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1891041406
PECOS PAC ID: 0648422030
Enrollment ID: I20121211000330
Provider NameLaura E Abbott
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1093061608
PECOS PAC ID: 4082866470
Enrollment ID: I20121211000351
Provider NameKimberly Renee Becher
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528351863
PECOS PAC ID: 4385883065
Enrollment ID: I20140807001149
Provider NameMelissa Shockey Dodrill
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871887349
PECOS PAC ID: 5991923963
Enrollment ID: I20140904001927
Provider NameAutumn L Lemley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992149223
PECOS PAC ID: 5991001141
Enrollment ID: I20160630002278
Provider NameRoberta Jo Simons
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1275245367
PECOS PAC ID: 2264883388
Enrollment ID: I20240112001407

Reviews and Comments


Clinic/Center in Lost Creek, WV

South Harrison High School Wellness Center
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: Rr 1 Box 58, Lost Creek, WV 26385
Phone: 304-326-7440    Fax: 304-745-4292
South Harrison Family Medicine
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2324 Hawk Highway, Lost Creek, WV 26385
Phone: 304-745-3200    Fax: 304-745-4068

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.