Clifton A Sheets, MD - Medicare Internal Medicine in Fredericksburg, VA

Clifton A Sheets, MD is a medicare enrolled "Emergency Medicine" physician in Fredericksburg, Virginia. He went to Virginia Commonwealth University, School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Prime Care Family Care, Inc. and his current practice location is 2511 Salem Church Rd, Fredericksburg, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 786-1200.

Clifton A Sheets is licensed to practice in Virginia (license number 0101044230) 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 1831287945.

Contact Information

Clifton A Sheets, MD
2511 Salem Church Rd,
Fredericksburg, VA 22407-6466
(540) 786-1200
(540) 786-3195

Map and Direction




Physician's Profile

Full NameClifton A Sheets
GenderMale
SpecialityInternal Medicine
Experience41 Years
Location2511 Salem Church Rd, Fredericksburg, 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:
  • Clifton A Sheets attended and graduated from Virginia Commonwealth University, School Of Medicine in 1983
  NPI Data:
  • NPI Number: 1831287945
  • Provider Enumeration Date: 10/11/2006
  • Last Update Date: 02/07/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6305836883
  • Enrollment ID: I20040715000827

Medical Identifiers

Medical identifiers for Clifton A Sheets such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831287945NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 0101044230 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mary Washington HospitalFredericksburg, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prime Care Family Care, Inc.761895975011

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. Clifton A Sheets allows following entities to bill medicare on his behalf.
Entity NamePrime Care Family Care, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780612424
PECOS PAC ID: 7618959750
Enrollment ID: O20040603000168

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. Clifton A Sheets 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
Clifton A Sheets, MD
2511 Salem Church Rd,
Fredericksburg, VA 22407-6466

Ph: (540) 786-1200
Clifton A Sheets, MD
2511 Salem Church Rd,
Fredericksburg, VA 22407-6466

Ph: (540) 786-1200

Reviews and Comments


Emergency Medicine Doctors in Fredericksburg, VA

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Coleen A Rickabaugh, MD
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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).

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