Dr Ralph Dunham Caldroney, MD - Medicare Internal Medicine in Lexington, VA

Dr Ralph Dunham Caldroney, MD is a medicare enrolled "Internal Medicine" physician in Lexington, Virginia. His current practice location is 108 Houston St, Suite C, Lexington, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 463-7628.

Dr Ralph Dunham Caldroney is licensed to practice in Virginia (license number 0101-249322) 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 1528025517.

Contact Information

Dr Ralph Dunham Caldroney, MD
108 Houston St, Suite C,
Lexington, VA 24450-2455
(540) 463-7628
(540) 463-6956

Map and Direction




Physician's Profile

Full NameDr Ralph Dunham Caldroney
GenderMale
SpecialityInternal Medicine
Location108 Houston St, Lexington, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528025517
  • Provider Enumeration Date: 04/26/2006
  • Last Update Date: 12/24/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6406900505
  • Enrollment ID: I20101209000137

Medical Identifiers

Medical identifiers for Dr Ralph Dunham Caldroney such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528025517NPI-NPPES
64208721MedicaidKY
412013126OtherKYRAILROAD MEDICARE
VVF476AOtherVAMEDICARE PTAN
022092900OtherKYBLACK LUNG INSURANCE
1283881OtherKYUNITED MINE WORKERS ASSOC
4382528OtherKYAETNA INSURANCE COMPANY
000000047058OtherKYBLUE CROSS & BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 20872 (Kentucky)Secondary
207R00000XInternal Medicine 0101-249322 (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 Ralph Dunham Caldroney allows following entities to bill medicare on his behalf.
Entity NameInternal Medicine Associates Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902951759
PECOS PAC ID: 2769389956
Enrollment ID: O20031216000598

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 Ralph Dunham Caldroney 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 Ralph Dunham Caldroney, MD
108 Houston St, Suite C,
Lexington, VA 24450-2455

Ph: (540) 463-7628
Dr Ralph Dunham Caldroney, MD
108 Houston St, Suite C,
Lexington, VA 24450-2455

Ph: (540) 463-7628

Reviews and Comments


Internal Medicine Doctors in Lexington, VA

Laura P Kornegay, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 108 Houston St, Suite A, Lexington, VA 24450
Phone: 540-463-2181    Fax: 540-463-1125
Dr. Lydia Joy Kuhn, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Health Cir, Lexington, VA 24450
Phone: 540-458-3300    Fax: 540-458-3456
Judy Ko, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 30 Greenhouse Rd, Lexington, VA 24450
Phone: 540-464-3465    Fax: 540-464-3466
Mrs. Mary C Winston, NP,RN
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 108 Houston St, Lexington, VA 24450
Phone: 540-463-2181    Fax: 540-463-1125
Douglas M. Sawch, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 108 Houston St Ste E, Lexington, VA 24450
Phone: 540-463-2227    
Karen A Lyons, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 108 Houston St, Lexington, VA 24450
Phone: 540-463-2181    Fax: 540-463-1125
Dr. Christine Cara Schwartz, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Health Cir, Lexington, VA 24450
Phone: 540-458-3300    Fax: 540-458-3456

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.