Dr Paulina Rios, MD - Medicare Family Practice in Saint Paul, VA

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Dr Paulina Rios, MD is a medicare enrolled "Family Medicine" physician in Saint Paul, Virginia. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice St. Charles Health Council Inc and her current practice location is 1389 Dante Road, Saint Paul, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 762-0770.

Dr Paulina Rios is licensed to practice in Virginia (license number 0101270453) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366959108.

Contact Information

Dr Paulina Rios, MD
1389 Dante Road,
Saint Paul, VA 24283-3658
(276) 762-0770
Not Available

Map and Direction




Physician's Profile

Full NameDr Paulina Rios
GenderFemale
SpecialityFamily Practice
Experience7 Years
Location1389 Dante Road, Saint Paul, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Paulina Rios graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1366959108
  • Provider Enumeration Date: 01/02/2018
  • Last Update Date: 07/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6901202910
  • Enrollment ID: I20210831000014

Medical Identifiers

Medical identifiers for Dr Paulina Rios such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366959108NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101270453 (Virginia)Primary
207Q00000XFamily Medicine ME148339 (Florida)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Home Nursing Company IncLebanon, VAHome health agency
Lonesome Pine HospitalBig stone gap, VAHospital
Russell County HospitalLebanon, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St. Charles Health Council Inc024412458414

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 Paulina Rios allows following entities to bill medicare on her behalf.
Entity NameSt. Charles Health Council Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801013354
PECOS PAC ID: 0244124584
Enrollment ID: O20040209001103

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 Paulina Rios 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 Paulina Rios, MD
144 Clinic St,
Saint Paul, VA 24283-3655

Ph: (276) 762-0770		Dr Paulina Rios, MD
1389 Dante Road,
Saint Paul, VA 24283-3658

Ph: (276) 762-0770

Reviews and Comments


Family Medicine Doctors in Saint Paul, VA

Taylor D Holliday, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 16431 Wise St., Saint Paul, VA 24283
Phone: 276-762-2300    Fax: 276-762-0612
Dr. Andrew Jordan Rosenfeld, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 16431 Wise St, Saint Paul, VA 24283
Phone: 276-762-2300    

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.