Dr Wendell T Poulsen Jr, MD in Gloucester, VA

Dr Wendell T Poulsen Jr, MD is a medicare enrolled "Family Medicine" physician in Gloucester, Virginia. His current practice location is 5659 Parkway Dr, Ste 100, Gloucester, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 210-1005.

Dr Wendell T Poulsen Jr is licensed to practice in Virginia (license number 0101031371) 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 1457326811.

Contact Information

	Dr Wendell T Poulsen Jr, MD
	5659 Parkway Dr, Ste 100, Gloucester, VA 23061-3792
	(804) 210-1005
	(804) 210-1009

Map and Direction

Physician's Profile

Full Name	Dr Wendell T Poulsen Jr
Gender	Male
Speciality	Family Medicine
Location	5659 Parkway Dr, Gloucester, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457326811
Provider Enumeration Date: 02/21/2006
Last Update Date: 01/11/2012

Medicare PECOS Information:

PECOS PAC ID: 6608816814
Enrollment ID: I20050506000568

Medical Identifiers

Medical identifiers for Dr Wendell T Poulsen Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457326811	NPI	-	NPPES
010156041	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	0101031371 (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 Wendell T Poulsen Jr allows following entities to bill medicare on his behalf.

Entity Name	Gloucester Mathews Care Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184051575 PECOS PAC ID: 2961731955 Enrollment ID: O20190917002891

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 Wendell T Poulsen Jr 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 Wendell T Poulsen Jr, MD 5659 Parkway Dr, Ste 100, Gloucester, VA 23061-3792 Ph: (804) 210-1005	Dr Wendell T Poulsen Jr, MD 5659 Parkway Dr, Ste 100, Gloucester, VA 23061-3792 Ph: (804) 210-1005

Reviews and Comments

Family Medicine Doctors in Gloucester, VA

David Glenn Belvin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5659 Parkway Dr Ste 210, Gloucester, VA 23061 Phone: 804-210-1025 Fax: 757-510-9059
Dr. Francis Thornton West Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6506 Main Street, Gloucester, VA 23061 Phone: 804-684-5043 Fax: 804-684-5392
Dr. Richard Riddick Honablue Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8025 Belroi Rd, Gloucester, VA 23061 Phone: 804-693-5528 Fax: 804-695-0298
Dr. Joseph A. Leming, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6760 Main St, Gloucester, VA 23061 Phone: 804-693-3500 Fax: 804-693-3503
Blair Williams Nein, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6609 Main St, Gloucester, VA 23061 Phone: 804-824-9153
Mrs. Virginia L Herbert, M.D, F.A.C.S. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7554 Hospital Dr Ste D-303, Gloucester, VA 23061 Phone: 804-693-3400

Dr Wendell T Poulsen Jr, MD - Medicare Family Medicine in Gloucester, VA