Southern West Virginia Primary Care Inc - Medicare Primary Care in Beckley, WV

Southern West Virginia Primary Care Inc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Beckley, West Virginia. The current practice location for Southern West Virginia Primary Care Inc is 321 Dry Hill Rd, Beckley, West Virginia. For appointments, you can reach them via phone at (304) 250-0142. The mailing address for Southern West Virginia Primary Care Inc is 321 Dry Hill Rd, Beckley, West Virginia and phone number is (304) 250-0142.

Southern West Virginia Primary Care Inc is licensed to practice in West Virginia (license number 23171147). The clinic also participates in the medicare program and its NPI number is 1598147431. 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) 250-0142.

Contact Information

Southern West Virginia Primary Care Inc
321 Dry Hill Rd
Beckley
WV 25801-2601
(304) 250-0142
Not Available

Primary Care Clinic Profile

Full NameSouthern West Virginia Primary Care Inc
SpecialityClinic/Center
Location321 Dry Hill Rd, Beckley, West Virginia
Authorized Official Name and PositionJames Brandon Smith (OWNER)
Authorized Official Contact3042500142
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southern West Virginia Primary Care Inc
321 Dry Hill Rd
Beckley
WV 25801-2601

Ph: (304) 250-0142
Southern West Virginia Primary Care Inc
321 Dry Hill Rd
Beckley
WV 25801-2601

Ph: (304) 250-0142

NPI Details:

NPI Number1598147431
Provider Enumeration Date06/28/2015
Last Update Date06/28/2015

Medicare PECOS Information:

Medicare PECOS PAC ID9830408376
Medicare Enrollment IDO20151022002301

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Medical Identifiers

Medical identifiers for Southern West Virginia Primary Care Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598147431NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care 23171147 (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. Southern West Virginia Primary Care Inc acts as a billing entity for following providers:
Provider NameTonia M Daniels
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225144603
PECOS PAC ID: 8022914217
Enrollment ID: I20031209000719

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Provider NameJoseph Wayne Morrello
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205063906
PECOS PAC ID: 4385893635
Enrollment ID: I20121003000009

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Provider NameJames B Smith
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1942493622
PECOS PAC ID: 9638488182
Enrollment ID: I20151022002496

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Provider NameWhitney Rose
Provider TypePractitioner - Nurse Practitioner
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PECOS PAC ID: 7012269889
Enrollment ID: I20181004002622

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Clinic/Center in Beckley, WV

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