Dr Pedro Rafael Villanueva, MD - Medicare Internal Medicine in Williamsburg, VA

Dr Pedro Rafael Villanueva, MD is a medicare enrolled "Internal Medicine" physician in Williamsburg, Virginia. He graduated from medical school in 1975 and has 49 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Riverside Physician Services Inc and his current practice location is 7364 Richmond Rd, Williamsburg, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 345-0011.

Dr Pedro Rafael Villanueva is licensed to practice in Virginia (license number 0101049988) 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 1609986942.

Contact Information

Dr Pedro Rafael Villanueva, MD
7364 Richmond Rd,
Williamsburg, VA 23188-7220
(757) 345-0011
(757) 534-0381

Map and Direction




Physician's Profile

Full NameDr Pedro Rafael Villanueva
GenderMale
SpecialityInternal Medicine
Experience49 Years
Location7364 Richmond Rd, Williamsburg, 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 Pedro Rafael Villanueva graduated from medical school in 1975
  NPI Data:
  • NPI Number: 1609986942
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 01/25/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3173541158
  • Enrollment ID: I20171020002241

Medical Identifiers

Medical identifiers for Dr Pedro Rafael Villanueva such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609986942NPI-NPPES
6017380MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 0101049988 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Riverside Regional Medical CenterNewport news, VAHospital
Riverside Doctors' Hospital Of WilliamsburgWilliamsburg, VAHospital
Sentara Williamsburg Regional Medical CenterWilliamsburg, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Riverside Physician Services Inc5092608448738

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 Pedro Rafael Villanueva allows following entities to bill medicare on his behalf.
Entity NameRiverside Physician Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194929026
PECOS PAC ID: 5092608448
Enrollment ID: O20040207000400

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 Pedro Rafael Villanueva 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 Pedro Rafael Villanueva, MD
856 J Clyde Morris Blvd Ste A,
Newport News, VA 23601-1318

Ph: (757) 316-5800
Dr Pedro Rafael Villanueva, MD
7364 Richmond Rd,
Williamsburg, VA 23188-7220

Ph: (757) 345-0011

Reviews and Comments


Internal Medicine Doctors in Williamsburg, VA

Dr. Harold D Jones Iii, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 4601 Ironbound Rd, Eastern State Hospital, Williamsburg, VA 23187
Phone: 757-253-5161    
Dr. Ralph R Dimattia, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Sentara Cir, Williamsburg, VA 23188
Phone: 757-984-7218    Fax: 757-984-7210
William J Beneke, M.D
Internal Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 5215 Monticello Ave, Williamsburg, VA 23188
Phone: 757-229-1440    
Dr. Kathleen M Tylman, D.O.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 477 Mclaws Cir, Suite 1, Williamsburg, VA 23185
Phone: 757-208-0005    Fax: 757-208-0006
Dr. Vicki Stone Wilhelm, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 137 Kingspoint Dr, Williamsburg, VA 23185
Phone: 757-220-2718    
David Gordon Hundt, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 227 Mclaws Cir, Williamsburg, VA 23185
Phone: 757-564-8182    Fax: 757-564-0077
Abel Teka Yimer, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 477 Mclaws Cir Ste 1, Williamsburg, VA 23185
Phone: 757-984-9675    Fax: 757-470-5401

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.