Willow Creek Health Clinic Inc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Roderfield, West Virginia. The current practice location for Willow Creek Health Clinic Inc is 15237 Coal Heritage Road/us-52 North, Honeycamp /247, Roderfield, West Virginia. For appointments, you can reach them via phone at
(304) 436-8323. The mailing address for Willow Creek Health Clinic Inc is Po Box 219, Premier, West Virginia and phone number is (304) 436-8323.
Willow Creek Health Clinic Inc is licensed to practice in West Virginia (license number 42727). The clinic also participates in the medicare program and its
NPI number is 1730635863. 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) 436-8323.
Primary Care Clinic Profile
| Full Name | Willow Creek Health Clinic Inc |
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| Speciality | Clinic/Center |
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| Location | 15237 Coal Heritage Road/us-52 North, Roderfield, West Virginia |
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| Authorized Official Name and Position | Karen Patricia Addair (PRESIDENT) |
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| Authorized Official Contact | 3044368323 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Willow Creek Health Clinic Inc
Po Box 219
Premier
WV 24878-0219
Ph: (304) 436-8323 | Willow Creek Health Clinic Inc
15237 Coal Heritage Road/us-52 North
Honeycamp /247
Roderfield
WV 24881
Ph: (304) 436-8323 |
NPI Details:
| NPI Number | 1730635863 |
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| Provider Enumeration Date | 08/29/2016 |
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| Last Update Date | 08/29/2016 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 9335426170 |
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| Medicare Enrollment ID | O20170504001943 |
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Medical Identifiers
Medical identifiers for Willow Creek Health Clinic Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730635863 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QP2300X | Clinic/center - Primary Care | 42727 (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.
Willow Creek Health Clinic Inc acts as a billing entity for following providers:
| Provider Name | Karen P Addair |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1053543025
PECOS PAC ID: 0042356172
Enrollment ID: I20091005000020 |
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