<unavail> in Clarksburg, WV - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Clarksburg, West Virginia. The current practice location for is 443 Lee Ave, Clarksburg, West Virginia. For appointments, you can reach them via phone at (304) 326-7420. The mailing address for is Po Box 217, Rock Cave, West Virginia and phone number is (304) 924-6262.

is licensed to practice in West Virginia (license number 2287-8809). The clinic also participates in the medicare program and its NPI number is 1619316999. 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) 326-7420.

Contact Information


	443 Lee Ave Clarksburg WV 26301-3648
	(304) 326-7420
	(304) 624-3388

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	443 Lee Ave, Clarksburg, West Virginia
Authorized Official Name and Position	Dora L Potasnik (CREDENTIALING)
Authorized Official Contact	3045872541
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 217 Rock Cave WV 26234-0217 Ph: (304) 924-6262	443 Lee Ave Clarksburg WV 26301-3648 Ph: (304) 326-7420

NPI Details:

NPI Number	1619316999
Provider Enumeration Date	06/19/2013
Last Update Date	06/19/2013

Medicare PECOS Information:

Medicare PECOS PAC ID	0446232987
Medicare Enrollment ID	O20131108001807

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619316999	NPI	-	NPPES
2287-8809	Other	WV	BUSINESS LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	2287-8809 (West Virginia)	Primary

Reviews and Comments

Clinic/Center in Clarksburg, WV

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 Oakmound Rd, Clarksburg, WV 26301 Phone: 304-924-6262 Fax: 304-924-5460
Veterans Health Administration Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Med Center Dr, Clarksburg, WV 26301 Phone: 304-623-3461
Ucfa Physicians Network Group Of West Virginia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2413 E Pike St, Clarksburg, WV 26301 Phone: 423-271-9911
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2 Mountaineer Dr, Clarksburg, WV 26301 Phone: 304-326-7620 Fax: 304-924-5460
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Mountaineer Dr, Clarksburg, WV 26301 Phone: 304-326-7470 Fax: 304-587-2594
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 N 19th St, Clarksburg, WV 26301 Phone: 304-326-7650 Fax: 304-587-2594
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Eagle Way, Clarksburg, WV 26301 Phone: 304-326-7200 Fax: 304-624-3211

- Medicare Primary Care in Clarksburg, WV