| Kevin M Clarke, MD | |
|
48 Vip Way, Fairmont, WV 26554 | |
| (304) 366-6200 | |
| (304) 366-4927 |
| Full Name | Kevin M Clarke |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 39 Years |
| Location | 48 Vip Way, Fairmont, West Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487664835 | NPI | - | NPPES |
| 001722242 | Other | WV | BCBS WV |
| 0041752000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 15547 (West Virginia) | Secondary |
| 207P00000X | Emergency Medicine | 15547 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Garrett County Memorial Hospital | Oakland, MD | Hospital |
| Upmc Somerset | Somerset, PA | Hospital |
| Potomac Valley Hospital | Keyser, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Potomac Valley Hospital Of W Va , Inc | 8123917788 | 65 |
| Professional Emergency Physician Services, Llc | 5395728687 | 10 |
| Entity Name | Potomac Valley Hospital Of W Va , Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316054919 PECOS PAC ID: 8123917788 Enrollment ID: O20040311001344 |
| Entity Name | West Virginia University Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598847634 PECOS PAC ID: 9537077441 Enrollment ID: O20050404000512 |
| Entity Name | Potomac Valley Hospital Of W Va , Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1912979873 PECOS PAC ID: 8123917788 Enrollment ID: O20061104000290 |
| Entity Name | Beckley Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376757674 PECOS PAC ID: 0547353062 Enrollment ID: O20070829000541 |
| Entity Name | Fayette Physician Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437823044 PECOS PAC ID: 3375865819 Enrollment ID: O20220822000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin M Clarke, MD 200 Rt 98 West, Suite 107, Nutter Fort, WV 26301 Ph: (304) 623-5711 | Kevin M Clarke, MD 48 Vip Way, Fairmont, WV 26554 Ph: (304) 366-6200 |
Amanda Puleo, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1325 Locust Ave, Fairmont, WV 26554 Phone: 304-534-7810 | |
Ronald Chevine Fleming, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Locust Avenue, Fairmont, WV 26554 Phone: 304-367-7100 Fax: 304-799-2229 | |
Jennifer Shreves, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 Middletown Loop, Fairmont, WV 26554 Phone: 304-333-1150 Fax: 304-333-1169 | |
Dr. Matthew Francis Verona, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1325 Locust Ave, Fairmont, WV 26554 Phone: 304-367-7100 | |
Dr. Nathan C Berry, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Meadowlane Ave, Fairmont, WV 26554 Phone: 256-443-4743 | |
Dr. Jonathan Roy Logan, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1325 Locust Ave, Fairmont, WV 26554 Phone: 304-367-7100 | |
Dr. Robert Clayton Thompson Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 238 Colfax Camp Rd, Fairmont, WV 26554 Phone: 304-216-3412 |