Andrew J Berardinelli, MD - Medicare Family Practice in Grafton, WV

Andrew J Berardinelli, MD is a medicare enrolled "Family Medicine" physician in Grafton, West Virginia. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Grafton City Hospital Inc and his current practice location is 1 Hospital Plz, Grafton, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 265-0400.

Andrew J Berardinelli is licensed to practice in West Virginia (license number 27634) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730591124.

Contact Information

Andrew J Berardinelli, MD
1 Hospital Plz,
Grafton, WV 26354-1283
(304) 265-0400
Not Available

Map and Direction




Physician's Profile

Full NameAndrew J Berardinelli
GenderMale
SpecialityFamily Practice
Experience12 Years
Location1 Hospital Plz, Grafton, West Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Andrew J Berardinelli graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1730591124
  • Provider Enumeration Date: 05/20/2014
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4981821634
  • Enrollment ID: I20170929002054

Medical Identifiers

Medical identifiers for Andrew J Berardinelli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730591124NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 27634 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grafton City Hospital, IncGrafton, WVHospital
Taylor Health Care CenterGrafton, WVNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grafton City Hospital Inc771989726312

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Andrew J Berardinelli allows following entities to bill medicare on his behalf.
Entity NameGrafton City Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033264387
PECOS PAC ID: 7719897263
Enrollment ID: O20040513000160

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. Andrew J Berardinelli 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 AddressPractice Location Address
Andrew J Berardinelli, MD
1 Hospital Plz,
Grafton, WV 26354-1283

Ph: (304) 265-0400
Andrew J Berardinelli, MD
1 Hospital Plz,
Grafton, WV 26354-1283

Ph: (304) 265-0400

Reviews and Comments


Family Medicine Doctors in Grafton, WV

Dr. Thomas F Wilshire Iii, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Hospital Plz, Grafton, WV 26354
Phone: 304-265-7406    
Christopher Z Villaraza Ii, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 500 Market St, Grafton, WV 26354
Phone: 304-265-0400    Fax: 304-265-6417
Dr. James W Woodford, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 500 Market St, Grafton, WV 26354
Phone: 304-265-0400    Fax: 304-265-6419
Mark T. Witkowski, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Hospital Plz, Grafton, WV 26354
Phone: 304-265-7406    Fax: 304-265-6443
Dr. Michael Raymond Hess, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 401 N Pike St, Grafton, WV 26354
Phone: 304-265-1350    
David Brian Bender, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 500 Market St, Grafton, WV 26354
Phone: 304-265-0400    Fax: 304-265-6417

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.