Liberty High School Wellness Center - Medicare Primary Care in Clarksburg, WV

Liberty High School Wellness Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Clarksburg, West Virginia. The current practice location for Liberty High School Wellness Center is 1 Mountaineer Dr, Clarksburg, West Virginia. For appointments, you can reach them via phone at (304) 326-7470. The mailing address for Liberty High School Wellness Center is Po Box 147, Clay, West Virginia and phone number is (304) 587-2541.

Liberty High School Wellness Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1194111468. 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) 326-7470.

Contact Information

Liberty High School Wellness Center
1 Mountaineer Dr
Clarksburg
WV 26301-5511
(304) 326-7470
(304) 587-2594

Map and Direction


Primary Care Clinic Profile

Full NameLiberty High School Wellness Center
SpecialityClinic/Center
Location1 Mountaineer Dr, Clarksburg, West Virginia
Authorized Official Name and PositionDora L Potasnik (CREDENTIALING)
Authorized Official Contact3045872541
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Liberty High School Wellness Center
Po Box 147
Clay
WV 25043-0147

Ph: (304) 587-2541
Liberty High School Wellness Center
1 Mountaineer Dr
Clarksburg
WV 26301-5511

Ph: (304) 326-7470

NPI Details:

NPI Number1194111468
Provider Enumeration Date04/13/2015
Last Update Date04/13/2015

Medicare PECOS Information:

Medicare PECOS PAC ID0446232987
Medicare Enrollment IDO20150601001383

Medical Identifiers

Medical identifiers for Liberty High School Wellness Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194111468NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Reviews and Comments


Clinic/Center in Clarksburg, WV

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Phone: 304-326-7620    Fax: 304-924-5460
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Phone: 304-326-7200    Fax: 304-624-3211

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.