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

  1. Home
  2. Primary Care Clinics
  3. WV
  4. West Logan
Legacy Family Medicine Llc is a medicare enrolled primary clinic (Family Medicine) in West Logan, West Virginia. The current practice location for Legacy Family Medicine Llc is 1113 2nd Ave, West Logan, West Virginia. For appointments, you can reach them via phone at (304) 752-1900. The mailing address for Legacy Family Medicine Llc is 1113 2nd Ave, West Logan, West Virginia and phone number is (304) 752-1900.

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) 752-1900.

Contact Information

Legacy Family Medicine Llc
1113 2nd Ave
West Logan
WV 25601-3309
(304) 752-1900
(304) 752-0188

Map and Direction


Primary Care Clinic Profile

Full NameLegacy Family Medicine Llc
SpecialityFamily Medicine
Location1113 2nd Ave, West 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
1113 2nd Ave
West Logan
WV 25601-3309

Ph: (304) 752-1900		Legacy Family Medicine Llc
1113 2nd Ave
West Logan
WV 25601-3309

Ph: (304) 752-1900

NPI Details:

NPI Number1043967466
Provider Enumeration Date03/05/2022
Last Update Date09/16/2025

Medicare PECOS Information:

Medicare PECOS PAC ID6406292283
Medicare Enrollment IDO20240314004120

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 NameCrystal L Watkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790272607
PECOS PAC ID: 0648515841
Enrollment ID: I20181217000985
Provider NameWilliam Ray Watkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104395375
PECOS PAC ID: 5496097594
Enrollment ID: I20190419000199

Reviews and Comments


Family Medicine in West Logan, WV

Wv Family Medicine,inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1115 2nd Ave, West Logan, WV 25601
Phone: 304-831-0085    Fax: 304-831-0088

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.