Camden On Gauley Medical Center Inc is a medicare enrolled "Clinic/center - Federally Qualified Health Center (fqhc)" provider in Summersville, West Virginia. Their current practice location is
651 Water St, Summersville, West Virginia. You can reach out to their office (for appointments etc.) via phone at
(304) 872-5678.
Camden On Gauley Medical Center Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Camden On Gauley Medical Center Inc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1952033508.
Healthcare Provider's Profile
| Full Name | Camden On Gauley Medical Center Inc |
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| Type | Facility |
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| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
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| Location | 651 Water St, Summersville, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952033508
- Provider Enumeration Date: 06/30/2022
- Last Update Date: 06/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 6002867850
- Enrollment ID: O20220912001968
Medical Identifiers
Medical identifiers for Camden On Gauley Medical Center Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952033508 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (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.
Camden On Gauley Medical Center Inc acts as a billing entity for following providers:
| Provider Name | Eddie Prendergast |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1134165251
PECOS PAC ID: 2668535964
Enrollment ID: I20090113000569 |
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| Provider Name | Alexandra Lee Horne |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1972027894
PECOS PAC ID: 2466714910
Enrollment ID: I20210930001810 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Camden On Gauley Medical Center Inc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Camden On Gauley Medical Center Inc
10003 Webster Rd,
Camden On Gauley, WV 26208-7713
Ph: (304) 226-5725 | Camden On Gauley Medical Center Inc
651 Water St,
Summersville, WV 26651-1454
Ph: (304) 872-5678 |
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