Wv Family Medicine,inc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in West Logan, West Virginia. The current practice location for Wv Family Medicine,inc is 1115 2nd Ave, West Logan, West Virginia. For appointments, you can reach them via phone at
(304) 831-0085. The mailing address for Wv Family Medicine,inc is 1115 2nd Ave, West Logan, West Virginia and phone number is (304) 831-0085.
Wv Family Medicine,inc is licensed to practice in West Virginia (license number 22060). The clinic also participates in the medicare program and its
NPI number is 1528284247. 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) 831-0085.
Primary Care Clinic Profile
| Full Name | Wv Family Medicine,inc |
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| Speciality | Clinic/Center |
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| Location | 1115 2nd Ave, West Logan, West Virginia |
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| Authorized Official Name and Position | Karunasree Kanuri (PRESIDENT) |
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| Authorized Official Contact | 3048310085 |
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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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Wv Family Medicine,inc
1115 2nd Ave
West Logan
WV 25601-3309
Ph: (304) 831-0085 | Wv Family Medicine,inc
1115 2nd Ave
West Logan
WV 25601-3309
Ph: (304) 831-0085 |
NPI Details:
| NPI Number | 1528284247 |
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| Provider Enumeration Date | 04/18/2007 |
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| Last Update Date | 08/22/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 3274550082 |
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| Medicare Enrollment ID | O20051101000117 |
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Medical Identifiers
Medical identifiers for Wv Family Medicine,inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528284247 | NPI | - | NPPES |
| 3810003597 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 22060 (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.
Wv Family Medicine,inc acts as a billing entity for following providers:
| Provider Name | Karunasree Kanuri |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1174612907
PECOS PAC ID: 8820034028
Enrollment ID: I20051102000164 |
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