Brian K Butcher, MD - Medicare Pediatrics in Newport News, VA

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Brian K Butcher, MD is a medicare enrolled "Pediatrics - Developmental - Behavioral Pediatrics" physician in Newport News, Virginia. His current practice location is 11835 Fishing Point Dr, Ste 207, Newport News, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 873-3334.

Brian K Butcher is licensed to practice in Virginia (license number 0101225820) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003831629.

Contact Information

Brian K Butcher, MD
11835 Fishing Point Dr, Ste 207,
Newport News, VA 23606
(757) 873-3334
(757) 873-1128

Map and Direction




Physician's Profile

Full NameBrian K Butcher
GenderMale
SpecialityPediatrics - Developmental - Behavioral Pediatrics
Location11835 Fishing Point Dr, Newport News, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003831629
  • Provider Enumeration Date: 07/13/2006
  • Last Update Date: 12/29/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1759685175
  • Enrollment ID: I20160205000288

Medical Identifiers

Medical identifiers for Brian K Butcher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003831629NPI-NPPES
006712240MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0006XPediatrics - Developmental - Behavioral Pediatrics 0101225820 (Virginia)Primary

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. Brian K Butcher allows following entities to bill medicare on his behalf.
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20140603000011

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. Brian K Butcher 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
Brian K Butcher, MD
895 City Center Blvd 200,
Newport News, VA 23606-3080

Ph: (757) 599-4090		Brian K Butcher, MD
11835 Fishing Point Dr, Ste 207,
Newport News, VA 23606

Ph: (757) 873-3334

Reviews and Comments


Pediatrics Doctors in Newport News, VA

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Phone: 757-668-4851    
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Sherin Amiri, M.D.
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Phone: 757-539-0251    Fax: 757-539-8008
Amanda M Hedges, D.O.
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Practice Location: 2 Bernardine Dr, Newport News, VA 23602
Phone: 757-886-6000    
Dr. Dejie John, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 680 Oyster Point Rd Ste 200, Newport News, VA 23606
Phone: 757-668-4851    Fax: 757-668-4847

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.