Tug River Health Association, Inc - Medicare Primary Care in Northfork, WV

Tug River Health Association, Inc is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Northfork, West Virginia. The current practice location for Tug River Health Association, Inc is 10 Main Street, Northfork, West Virginia. For appointments, you can reach them via phone at (304) 862-2588. The mailing address for Tug River Health Association, Inc is Route 103 Supply Street, Po Box 507, Gary, West Virginia and phone number is (304) 448-2101.

Tug River Health Association, Inc is licensed to practice in West Virginia (license number 031000). The clinic also participates in the medicare program and its NPI number is 1831273945. 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) 862-2588.

Contact Information

Tug River Health Association, Inc
10 Main Street
Northfork
WV 24868
(304) 862-2588
(304) 862-2244

Map and Direction


Primary Care Clinic Profile

Full NameTug River Health Association, Inc
SpecialityClinic/Center
Location10 Main Street, Northfork, West Virginia
Authorized Official Name and PositionKim Harris (CREDENTIALING COORDINATOR)
Authorized Official Contact3044482101
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tug River Health Association, Inc
Route 103 Supply Street, Po Box 507
Gary
WV 24836

Ph: (304) 448-2101
Tug River Health Association, Inc
10 Main Street
Northfork
WV 24868

Ph: (304) 862-2588

NPI Details:

NPI Number1831273945
Provider Enumeration Date10/25/2006
Last Update Date12/06/2018

Medicare PECOS Information:

Medicare PECOS PAC ID7214820547
Medicare Enrollment IDO20051010000216

Medical Identifiers

Medical identifiers for Tug River Health Association, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831273945NPI-NPPES
0035035000MedicaidWV
001706659OtherWVMS BCBS
CN3563OtherWVRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) 031000 (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. Tug River Health Association, Inc acts as a billing entity for following providers:
Provider NameMohammad Abdullah Ashir
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1104817956
PECOS PAC ID: 8022901594
Enrollment ID: I20040206000812
Provider NameSandra L Estep
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184705816
PECOS PAC ID: 4880677798
Enrollment ID: I20040611000039
Provider NamePaul M Little
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144319211
PECOS PAC ID: 5395706006
Enrollment ID: I20041025001022
Provider NameAlice J Roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487743571
PECOS PAC ID: 0749226256
Enrollment ID: I20050706001096
Provider NameAnthony W Thacker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750461190
PECOS PAC ID: 1153368576
Enrollment ID: I20051227000393
Provider NameTeresa Yvonne Thacker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891875274
PECOS PAC ID: 4789621103
Enrollment ID: I20110203000307
Provider NameKari Beth Law
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1295825388
PECOS PAC ID: 9931282191
Enrollment ID: I20120127000651
Provider NameAngela G Mckinney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285989152
PECOS PAC ID: 8921257296
Enrollment ID: I20121001000446
Provider NameKeisha Saunders
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942559364
PECOS PAC ID: 1052560018
Enrollment ID: I20121008000059
Provider NameRosalind R Berry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033534342
PECOS PAC ID: 2163645144
Enrollment ID: I20140520000953
Provider NameMonique S Rash
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689927691
PECOS PAC ID: 9032362827
Enrollment ID: I20140606000350
Provider NameJoanna Bailey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013204734
PECOS PAC ID: 3173743671
Enrollment ID: I20141006000700
Provider NameJulie A Massey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639545395
PECOS PAC ID: 9133438823
Enrollment ID: I20151020001967
Provider NameRobin E Riddle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619346509
PECOS PAC ID: 4486954401
Enrollment ID: I20151207000798
Provider NameJennifer Fain
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679922132
PECOS PAC ID: 8527350578
Enrollment ID: I20160712001029
Provider NameJohn Randolph Forehand
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1902888258
PECOS PAC ID: 9436045853
Enrollment ID: I20160912000660
Provider NameKatherine J Steele
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003251810
PECOS PAC ID: 2668613050
Enrollment ID: I20160923001792
Provider NameMatthew Dellacona
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1881033058
PECOS PAC ID: 0648586552
Enrollment ID: I20170103001031
Provider NameAngelia Michelle Hopkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699130591
PECOS PAC ID: 1355685827
Enrollment ID: I20181211000498
Provider NameCarol Suzanne Dennison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255801312
PECOS PAC ID: 3274870787
Enrollment ID: I20190122002493
Provider NameChrista Noel Mcintyre
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427582568
PECOS PAC ID: 1355670613
Enrollment ID: I20190911002378
Provider NameJessica Marcus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609427350
PECOS PAC ID: 8426483975
Enrollment ID: I20200110002357
Provider NameTracey L Lester
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730725292
PECOS PAC ID: 0547697328
Enrollment ID: I20200218001523
Provider NameJulia Blevins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255059796
PECOS PAC ID: 5193191740
Enrollment ID: I20221021002209
Provider NameAnthony Shayne Dillon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326773334
PECOS PAC ID: 4789069519
Enrollment ID: I20230109000872
Provider NameAmanda Bliss Perry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962113621
PECOS PAC ID: 8729429568
Enrollment ID: I20240510003264

Reviews and Comments


Clinic/Center in Northfork, WV

Tug River Health Association, Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 10 Main Street, Northfork, WV 24868
Phone: 304-862-2588    Fax: 304-862-2244

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.