Tug River Health Association - Medicare Primary Care in Princeton, WV

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Tug River Health Association is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Princeton, West Virginia. The current practice location for Tug River Health Association is 200 12th Street Ext, Princeton, West Virginia. For appointments, you can reach them via phone at (304) 431-1400. The mailing address for Tug River Health Association is 200 12th Street Ext, Princeton, West Virginia and phone number is (304) 431-1400.

Tug River Health Association is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1639842818. 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) 431-1400.

Contact Information

Tug River Health Association
200 12th Street Ext
Princeton
WV 24740-2329
(304) 431-1400
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameTug River Health Association
SpecialityClinic/Center
Location200 12th Street Ext, Princeton, West Virginia
Authorized Official Name and PositionSharon G Agnew (CREDENTIALING SPECIALIST)
Authorized Official Contact3048622588
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
200 12th Street Ext
Princeton
WV 24740-2329

Ph: (304) 431-1400		Tug River Health Association
200 12th Street Ext
Princeton
WV 24740-2329

Ph: (304) 431-1400

NPI Details:

NPI Number1639842818
Provider Enumeration Date07/26/2021
Last Update Date03/28/2022

Medicare PECOS Information:

Medicare PECOS PAC ID7214820547
Medicare Enrollment IDO20220514000276

Medical Identifiers

Medical identifiers for Tug River Health Association such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639842818NPI-NPPES
1639842818MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))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 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 NameKeisha Saunders
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942559364
PECOS PAC ID: 1052560018
Enrollment ID: I20121008000059
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 NameRobin E Riddle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619346509
PECOS PAC ID: 4486954401
Enrollment ID: I20151207000798
Provider NameChrista Noel Mcintyre
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427582568
PECOS PAC ID: 1355670613
Enrollment ID: I20190911002378
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 NameAmanda Bliss Perry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962113621
PECOS PAC ID: 8729429568
Enrollment ID: I20240510003264

Reviews and Comments


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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.