Shenandoah Valley Medical System,Inc.

A Medicare group practice based in Martinsburg, WV: 11 NPIs enrolled under one PECOS associate control ID (PAC ID 9739093097), with 48 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9739093097The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Public Health/Welfare Agency
Enrolled in
VA, WV
Enrollments
17
Group size
40 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
22In 5 places

Enrollment records 17

Enrollment IDStateProvider typeNPI
O20031119000556 WV Part B Supplier - Public Health/Welfare Agency 1083617823
O20051229000496 WV Part A Provider - Federally Qualified Health Center (FQHC) 1992904668
O20051229000475 WV Part A Provider - Federally Qualified Health Center (FQHC) 1508064510
O20050613000473 VA Part B Supplier - Clinic/Group Practice 1083617823
O20050609000371 WV Part A Provider - Federally Qualified Health Center (FQHC) 1083617823
O20210920000165 WV Part B Supplier - Clinic/Group Practice 1508437336
O20220624001848 WV Part A Provider - Federally Qualified Health Center (FQHC) 1508437336
O20220624002606 WV Part A Provider - Federally Qualified Health Center (FQHC) 1417616053
O20221209002832 WV Part A Provider - Federally Qualified Health Center (FQHC) 1568186153
O20221014002983 WV Part A Provider - Federally Qualified Health Center (FQHC) 1861116774
O20221201000854 WV Part B Supplier - Clinic/Group Practice 1235853144
O20221122001029 WV Part A Provider - Federally Qualified Health Center (FQHC) 1366015513
O20221201000434 WV Part B Supplier - Clinic/Group Practice 1861116774
O20090312000099 WV Part A Provider - Federally Qualified Health Center (FQHC) 1023217452
O20230219000007 WV Part B Supplier - Clinic/Group Practice 1568186153
O20260305001567 WV Part A Provider - Federally Qualified Health Center (FQHC) 1730071549
O20250404002386 WV Part A Provider - Federally Qualified Health Center (FQHC) 1235853144

NPIs in this group 11

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 48

Clinicians who reassign their Medicare benefits to this group (45) or whom Care Compare lists as members (40).

Sources for this page