Legacy Family Medicine Llc - Medicare Primary Care in Logan, WV

Legacy Family Medicine Llc is a medicare enrolled primary clinic (Family Medicine) in Logan, West Virginia. The current practice location for Legacy Family Medicine Llc is 214 Hanging Rock Hwy, Logan, West Virginia. For appointments, you can reach them via phone at (304) 784-4495. The mailing address for Legacy Family Medicine Llc is 214 Hanging Rock Hwy, Logan, West Virginia and phone number is (304) 784-4495.

Legacy Family Medicine Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1043967466. 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) 784-4495.

Contact Information

Legacy Family Medicine Llc
214 Hanging Rock Hwy
Logan
WV 25601-5102
(304) 784-4495
(304) 688-9020

Primary Care Clinic Profile

Full NameLegacy Family Medicine Llc
SpecialityFamily Medicine
Location214 Hanging Rock Hwy, Logan, West Virginia
Authorized Official Name and PositionWendy White (CREDENTIALING SPECIALIST)
Authorized Official Contact3046887027
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Legacy Family Medicine Llc
214 Hanging Rock Hwy
Logan
WV 25601-5102

Ph: (304) 784-4495
Legacy Family Medicine Llc
214 Hanging Rock Hwy
Logan
WV 25601-5102

Ph: (304) 784-4495

NPI Details:

NPI Number1043967466
Provider Enumeration Date03/05/2022
Last Update Date03/05/2022

Medicare PECOS Information:

Medicare PECOS PAC ID6406292283
Medicare Enrollment IDO20240314004120

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Medical Identifiers

Medical identifiers for Legacy Family Medicine Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043967466NPI-NPPES
APRN66417OtherWVFNP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (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. Legacy Family Medicine Llc acts as a billing entity for following providers:
Provider NameWilliam Ray Watkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104395375
PECOS PAC ID: 5496097594
Enrollment ID: I20190419000199

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