- Medicare Primary Care in Bradshaw, WV

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Bradshaw, West Virginia. The current practice location for is 512 Mountaineer Highway, Room 1344, Bradshaw, West Virginia. For appointments, you can reach them via phone at (304) 967-7682. The mailing address for is Route 103 Supply Street, Po Box 507, Gary, West Virginia and phone number is (304) 448-2101.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1295033009. 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) 967-7682.

Contact Information

512 Mountaineer Highway
Room 1344
Bradshaw
WV 24817-0000
(304) 967-7682
(304) 967-7684

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location512 Mountaineer Highway, Bradshaw, West Virginia
Authorized Official Name and PositionTim A Crofton (CEO)
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

Route 103 Supply Street
Po Box 507
Gary
WV 24836-0507

Ph: (304) 448-2101
512 Mountaineer Highway
Room 1344
Bradshaw
WV 24817-0000

Ph: (304) 967-7682

NPI Details:

NPI Number1295033009
Provider Enumeration Date03/02/2011
Last Update Date12/12/2011

Medicare PECOS Information:

Medicare PECOS PAC ID7214820547
Medicare Enrollment IDO20110929000113

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295033009NPI-NPPES
3810021840MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Reviews and Comments


Clinic/Center in Bradshaw, WV


Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 9981 Marshall Highway, Bradshaw, WV 24817
Phone: 304-967-5034    Fax: 304-906-2417

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.