Dr Mark H Kumar, MD - Medicare Vascular Surgery in Winchester, VA

Dr Mark H Kumar, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Winchester, Virginia. He went to University Of Virginia School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Valley Physician Enterprise Inc and his current practice location is 1880 Amherst St Ste 300, Winchester, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 536-6721.

Dr Mark H Kumar is licensed to practice in Virginia (license number 0101230821) 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 1114929395.

Contact Information

Dr Mark H Kumar, MD
1880 Amherst St Ste 300,
Winchester, VA 22601-2808
(540) 536-6721
(540) 536-6724

Map and Direction




Physician's Profile

Full NameDr Mark H Kumar
GenderMale
SpecialityVascular Surgery
Experience28 Years
Location1880 Amherst St Ste 300, Winchester, 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:
  • Dr Mark H Kumar attended and graduated from University Of Virginia School Of Medicine in 1996
  NPI Data:
  • NPI Number: 1114929395
  • Provider Enumeration Date: 06/01/2005
  • Last Update Date: 09/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7719954254
  • Enrollment ID: I20201217000693

Medical Identifiers

Medical identifiers for Dr Mark H Kumar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114929395NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery 30175 (West Virginia)Secondary
2086S0129XSurgery - Vascular Surgery 0101230821 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Winchester Medical CenterWinchester, VAHospital
Warren Memorial HospitalFront royal, VAHospital
Runnells Center For Rehabilitation & HealthcareBerkeley heights, NJNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Valley Physician Enterprise Inc9931268091204

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 Mark H Kumar allows following entities to bill medicare on his behalf.
Entity NameWinchester Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679711261
PECOS PAC ID: 0244134021
Enrollment ID: O20031124000061
Entity NameWarren Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396732004
PECOS PAC ID: 9739274259
Enrollment ID: O20070928000303
Entity NameValley Physician Enterprise Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538316203
PECOS PAC ID: 9931268091
Enrollment ID: O20081104000278

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 Mark H Kumar 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 Mark H Kumar, MD
220 Campus Blvd Ste 100,
Winchester, VA 22601-2896

Ph: (540) 536-5100
Dr Mark H Kumar, MD
1880 Amherst St Ste 300,
Winchester, VA 22601-2808

Ph: (540) 536-6721

Reviews and Comments


Surgery Doctors in Winchester, VA

Matelin Paul Crosen, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 190 Campus Blvd Ste 310, Winchester, VA 22601
Phone: 540-536-0130    Fax: 540-536-0140
Lauren Elizabeth Rusy,
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Medicare: Accepting Medicare Assignments
Practice Location: 111 Lighthouse Ln, Winchester, VA 22602
Phone: 512-619-0014    
Dr. Matthew James Mayuiers, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 190 Campus Blvd Ste 310, Winchester, VA 22601
Phone: 540-536-0130    Fax: 540-536-0140
Anita Minghini, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 400 Campus Blvd., Suite 220, Winchester, VA 22601
Phone: 540-536-5466    Fax: 540-536-5475
James P Dumont, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 20 S Stewart St, Winchester, VA 22601
Phone: 540-536-0130    Fax: 540-536-0135
Thomas J Gibson, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 20 S Stewart St, Suite 100, Winchester, VA 22601
Phone: 540-536-0130    Fax: 540-536-0135

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.