Dr John Coulter Maddox, MD - Medicare Pathology in Newport News, VA

  1. Home
  2. Pathology
  3. VA
  4. Newport News
Dr John Coulter Maddox, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Newport News, Virginia. His current practice location is 500 J Clyde Morris Blvd, Newport News, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 594-2160.

Dr John Coulter Maddox is licensed to practice in Virginia (license number 0101032554) 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 1053309542.

Contact Information

Dr John Coulter Maddox, MD
500 J Clyde Morris Blvd,
Newport News, VA 23601-1929
(757) 594-2160
Not Available

Map and Direction




Physician's Profile

Full NameDr John Coulter Maddox
GenderMale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location500 J Clyde Morris Blvd, 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: 1053309542
  • Provider Enumeration Date: 10/10/2005
  • Last Update Date: 03/12/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3678699170
  • Enrollment ID: I20100921001369

Medical Identifiers

Medical identifiers for Dr John Coulter Maddox such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053309542NPI-NPPES
220017179OtherRAILROAD MEDICARE
006660819MedicaidVA
890559XMedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 0101032554 (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. Dr John Coulter Maddox allows following entities to bill medicare on his behalf.
Entity NamePeninsula Pathology Associates Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306834858
PECOS PAC ID: 2264496009
Enrollment ID: O20080703000273

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. Dr John Coulter Maddox 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
Dr John Coulter Maddox, MD
5700 Southwyck Blvd,
Toledo, OH 43614-1509

Ph: (800) 288-8325		Dr John Coulter Maddox, MD
500 J Clyde Morris Blvd,
Newport News, VA 23601-1929

Ph: (757) 594-2160

Reviews and Comments


Pathology Doctors in Newport News, VA

Dr. Carolyn Fawn O'connor, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 500 J Clyde Morris Blvd, Newport News, VA 23601
Phone: 757-594-2160    
Dr. David Michael Smith, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 500 J Clyde Morris Blvd, Newport News, VA 23601
Phone: 757-594-2160    
Jonathan Edwards, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602
Phone: 240-678-5454    
Lucy Elena Defanti,
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 500 J Clyde Morris Blvd, Newport News, VA 23601
Phone: 757-594-2160    
Theresa S Emory, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 500 J Clyde Morris Blvd, Newport News, VA 23601
Phone: 757-594-2160    
Dr. Warren Bowman Helwig, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 500 J Clyde Morris Blvd, Newport News, VA 23601
Phone: 757-594-3160    

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.