Southern Roane Medical Clinic - Medicare Primary Care in Left Hand, WV

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Southern Roane Medical Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Left Hand, West Virginia. The current practice location for Southern Roane Medical Clinic is 1 Library Ln, Left Hand, West Virginia. For appointments, you can reach them via phone at (304) 927-6819. The mailing address for Southern Roane Medical Clinic is 200 Hospital Dr, Spencer, West Virginia and phone number is (304) 927-6819.

Southern Roane Medical Clinic is licensed to practice in West Virginia (license number 74). The clinic also participates in the medicare program and its NPI number is 1790745677. 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) 927-6819.

Contact Information

Southern Roane Medical Clinic
1 Library Ln
Left Hand
WV 25251-9745
(304) 927-6819
(304) 927-6837

Map and Direction


Primary Care Clinic Profile

Full NameSouthern Roane Medical Clinic
SpecialityClinic/Center
Location1 Library Ln, Left Hand, West Virginia
Authorized Official Name and PositionDoug Bentz (CEO)
Authorized Official Contact3049276200
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southern Roane Medical Clinic
200 Hospital Dr
Spencer
WV 25276-1050

Ph: (304) 927-6819		Southern Roane Medical Clinic
1 Library Ln
Left Hand
WV 25251-9745

Ph: (304) 927-6819

NPI Details:

NPI Number1790745677
Provider Enumeration Date03/24/2006
Last Update Date11/08/2010

Medicare PECOS Information:

Medicare PECOS PAC ID4183527476
Medicare Enrollment IDO20040406000528

Medical Identifiers

Medical identifiers for Southern Roane Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790745677NPI-NPPES
3810004237MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health 74 (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. Southern Roane Medical Clinic acts as a billing entity for following providers:
Provider NameScott P Duffy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306943741
PECOS PAC ID: 6103727375
Enrollment ID: I20040120000402
Provider NameMichelle L Stotts
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1225079544
PECOS PAC ID: 5294626966
Enrollment ID: I20040323000110
Provider NameRichard Graham Bowman
Provider TypePractitioner - Interventional Pain Management
Provider IdentifiersNPI Number: 1700810603
PECOS PAC ID: 9830189349
Enrollment ID: I20040517000479
Provider NameTamejiro Takubo
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1841218872
PECOS PAC ID: 5991795197
Enrollment ID: I20040518000252
Provider NameThomas Rittinger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639242381
PECOS PAC ID: 2466351127
Enrollment ID: I20040527001063
Provider NameMilton Julio Plata
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1871639419
PECOS PAC ID: 9638151566
Enrollment ID: I20040604000017
Provider NameChristopher Ned Lambert
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1710964069
PECOS PAC ID: 5395638753
Enrollment ID: I20040825001219
Provider NameDaniel Nay Woodyard
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1154318962
PECOS PAC ID: 5294703948
Enrollment ID: I20040921000003
Provider NameKeitina G Donahue-lunsford
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1053336420
PECOS PAC ID: 6406817543
Enrollment ID: I20041022000255
Provider NameRonald Brownfield
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730125766
PECOS PAC ID: 6507829769
Enrollment ID: I20041109000174
Provider NameRoger Vernon Cruse
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1831133578
PECOS PAC ID: 7517910409
Enrollment ID: I20050303000160
Provider NameMichael G Sitler
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1942262282
PECOS PAC ID: 5193779254
Enrollment ID: I20050310000970
Provider NameGrant Stephen Parkins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598769424
PECOS PAC ID: 3577503077
Enrollment ID: I20050504000443
Provider NameBrent E Watson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1447212790
PECOS PAC ID: 4183659048
Enrollment ID: I20050929000007
Provider NameRobby L Keith
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497781082
PECOS PAC ID: 6305865858
Enrollment ID: I20051115000176
Provider NameGinger M Sims
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902866866
PECOS PAC ID: 0941204630
Enrollment ID: I20060912000251
Provider NameMohammad Imani
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1134183643
PECOS PAC ID: 8325043284
Enrollment ID: I20060927000349
Provider NameGregory B Krivchenia
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1467410258
PECOS PAC ID: 0547156945
Enrollment ID: I20061012000376
Provider NameMary B Taylor
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1386790772
PECOS PAC ID: 5799884599
Enrollment ID: I20070620000004
Provider NameKevin Lee Eggleston
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1720200744
PECOS PAC ID: 7113028648
Enrollment ID: I20070727000044
Provider NameConnie S Woodyard
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1740471796
PECOS PAC ID: 2264524263
Enrollment ID: I20070822001000
Provider NameEarl Michael Famularcano
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407074867
PECOS PAC ID: 1355437997
Enrollment ID: I20071012000429
Provider NameKerri Greer Donahue
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1770605891
PECOS PAC ID: 0042378697
Enrollment ID: I20081025000179
Provider NameLou B Potter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457530289
PECOS PAC ID: 4284789066
Enrollment ID: I20090831000259
Provider NameAgnes A Enrico-simon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003910670
PECOS PAC ID: 3870526007
Enrollment ID: I20100713000277
Provider NameStephen E Groves
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1609968502
PECOS PAC ID: 2668403718
Enrollment ID: I20100803000751
Provider NameWilliam Alexander Wade
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1003029075
PECOS PAC ID: 9739205709
Enrollment ID: I20100927001476
Provider NameBrett K Radow
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1154315992
PECOS PAC ID: 5799979779
Enrollment ID: I20101103001072
Provider NameLesley A Waskey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831405646
PECOS PAC ID: 5395934632
Enrollment ID: I20110118000775
Provider NameHong-kin Ng
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1629026802
PECOS PAC ID: 9739368937
Enrollment ID: I20110120000071
Provider NameShawn D Reinert
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1205000882
PECOS PAC ID: 8628248382
Enrollment ID: I20110907001191
Provider NameMichael P Iannetti
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396949889
PECOS PAC ID: 0547455784
Enrollment ID: I20120503000164
Provider NameJason L Gessel
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1861672669
PECOS PAC ID: 4688837834
Enrollment ID: I20120621000359
Provider NameRaghavendra Mulinti
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1518198761
PECOS PAC ID: 2961642756
Enrollment ID: I20130627000506
Provider NameDodi L Bowen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811147036
PECOS PAC ID: 0648327502
Enrollment ID: I20130805000598
Provider NamePhillip D Cox
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1629262944
PECOS PAC ID: 0446491906
Enrollment ID: I20131015001308
Provider NameAdalgiza E Costa Moron
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962723239
PECOS PAC ID: 8224211180
Enrollment ID: I20140418000150
Provider NameJonathan Michael White
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1538452438
PECOS PAC ID: 4284850843
Enrollment ID: I20140717001396
Provider NameRyan Waddell
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1528232683
PECOS PAC ID: 5092945345
Enrollment ID: I20141001002538
Provider NameRoselyne Murugu Knopf
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033406715
PECOS PAC ID: 7618199480
Enrollment ID: I20141111000846
Provider NameJonathan A Hess
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063770014
PECOS PAC ID: 7012156227
Enrollment ID: I20150414002641
Provider NameSarah A Leger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659764918
PECOS PAC ID: 1153641873
Enrollment ID: I20150520002710
Provider NameJames D Perry
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1679893036
PECOS PAC ID: 9133368491
Enrollment ID: I20160603000998
Provider NameTiffany Diane Dutton
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1013320118
PECOS PAC ID: 2163649625
Enrollment ID: I20160725000060
Provider NameErik Zachary Meadows
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1417308891
PECOS PAC ID: 9032486980
Enrollment ID: I20170524001043
Provider NameMatthew Allen Ross
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720502347
PECOS PAC ID: 4880967421
Enrollment ID: I20170902000010
Provider NameLeann Nicole Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902344112
PECOS PAC ID: 2163791112
Enrollment ID: I20171013000551
Provider NameRoger S. Taylor
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1053721167
PECOS PAC ID: 1456579754
Enrollment ID: I20180816001833
Provider NameSarah Beth Royer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073092607
PECOS PAC ID: 4284979113
Enrollment ID: I20190118001626
Provider NameSumaira Shafi
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1164859278
PECOS PAC ID: 4587992474
Enrollment ID: I20190830001426
Provider NameJulio C Galindo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508144064
PECOS PAC ID: 8820239601
Enrollment ID: I20191112001495
Provider NameSarah J. Rinehart
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1740494087
PECOS PAC ID: 0840368189
Enrollment ID: I20200715003569
Provider NameTeresa Michaelis
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1871957290
PECOS PAC ID: 3577897164
Enrollment ID: I20200824000315
Provider NameBrandon Scott Murphy
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1346744281
PECOS PAC ID: 2668724709
Enrollment ID: I20201211000854
Provider NamePhillip Prusack
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073043378
PECOS PAC ID: 2860822053
Enrollment ID: I20210127000598
Provider NameCaitlyn M Mcdonald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588255483
PECOS PAC ID: 1759798150
Enrollment ID: I20210331002877
Provider NameMark Christiopher Plumby
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1518344092
PECOS PAC ID: 5395047187
Enrollment ID: I20210621002290
Provider NameEthan Mclean Westbrook
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1124514054
PECOS PAC ID: 2860741345
Enrollment ID: I20210813002928
Provider NameElena Hindh Noor Kwon
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1366563249
PECOS PAC ID: 5698824522
Enrollment ID: I20211116001171
Provider NameCarrie L Mckown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023785052
PECOS PAC ID: 8628468345
Enrollment ID: I20211210001598
Provider NameSabir Hussain
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1902441173
PECOS PAC ID: 6002242757
Enrollment ID: I20220512000538
Provider NameZachary Michael Grimes
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1194173823
PECOS PAC ID: 8729324843
Enrollment ID: I20220701001697
Provider NameKrishna Kishore Umapathi
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1962854737
PECOS PAC ID: 9436438132
Enrollment ID: I20220726000543
Provider NameKeith Leap
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1003884503
PECOS PAC ID: 1658538053
Enrollment ID: I20231005001914
Provider NameKanan Hudhud
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1528069226
PECOS PAC ID: 3678465135
Enrollment ID: I20231108004063
Provider NameKelley N Ross
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306084728
PECOS PAC ID: 7810117363
Enrollment ID: I20231117001416
Provider NameTerrence E Goyke
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1184660136
PECOS PAC ID: 6901865906
Enrollment ID: I20240215003233
Provider NameTerra D Keen-smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376316927
PECOS PAC ID: 0648615591
Enrollment ID: I20240229004385
Provider NameAdrien J Brutus
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740634963
PECOS PAC ID: 5496048597
Enrollment ID: I20240417002428
Provider NameMohamed Suliman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912496514
PECOS PAC ID: 1951654078
Enrollment ID: I20240513002641

Reviews and Comments


Clinic/Center in Left Hand, 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.