Dr Raphael Fajardo Guanzon, MD in Portsmouth, VA

Dr Raphael Fajardo Guanzon, MD is a medicare enrolled "General Practice" physician in Portsmouth, Virginia. His current practice location is 704 London St # A, Portsmouth, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 399-0513.

Dr Raphael Fajardo Guanzon is licensed to practice in Virginia (license number 0101026720) 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 1184732992.

Contact Information

	Dr Raphael Fajardo Guanzon, MD
	704 London St # A, Portsmouth, VA 23704-2413
	(757) 399-0513
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Raphael Fajardo Guanzon
Gender	Male
Speciality	General Practice
Location	704 London St # A, Portsmouth, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184732992
Provider Enumeration Date: 08/29/2006
Last Update Date: 12/31/2009

Medicare PECOS Information:

PECOS PAC ID: 0648458356
Enrollment ID: I20110629000038

Medical Identifiers

Medical identifiers for Dr Raphael Fajardo Guanzon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184732992	NPI	-	NPPES
005671213	Medicaid	VA
003121	Other	VA	ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	0101026720 (Virginia)	Primary

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 Raphael Fajardo Guanzon 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 Address	Practice Location Address
Dr Raphael Fajardo Guanzon, MD 704 London St # A, Portsmouth, VA 23704-2413 Ph: (757) 399-0513	Dr Raphael Fajardo Guanzon, MD 704 London St # A, Portsmouth, VA 23704-2413 Ph: (757) 399-0513

Reviews and Comments

General Practice Doctors in Portsmouth, VA

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Dr Raphael Fajardo Guanzon, MD - Medicare General Practice in Portsmouth, VA