James Marc Cardelia, MD - Medicare Orthopaedic Surgery in Norfolk, VA

James Marc Cardelia, MD is a medicare enrolled "Orthopaedic Surgery - Pediatric Orthopaedic Surgery" physician in Norfolk, Virginia. His current practice location is 171 Kempsville Rd, Building A, Norfolk, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 668-6550.

James Marc Cardelia is licensed to practice in Virginia (license number 0101229130) 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 1366458283.

Contact Information

James Marc Cardelia, MD
171 Kempsville Rd, Building A,
Norfolk, VA 23502-4700
(757) 668-6550
(757) 668-6544

Map and Direction




Physician's Profile

Full NameJames Marc Cardelia
GenderMale
SpecialityOrthopaedic Surgery - Pediatric Orthopaedic Surgery
Location171 Kempsville Rd, Norfolk, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366458283
  • Provider Enumeration Date: 07/31/2006
  • Last Update Date: 01/11/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 9638232952
  • Enrollment ID: I20090113000754

Medical Identifiers

Medical identifiers for James Marc Cardelia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366458283NPI-NPPES
006712991OtherVAVA PREMIER
283177OtherVAALLIANCE/MDIPA
4397279OtherVAAETNA
G47212OtherVABEECH STREET
006712991MedicaidVA
89063PGOtherVANORTH CAROLINA MEDICAID
29771OtherVAOPTIMA/SENTARA HEALTH
311610834OtherVANC HEALTH CHOICE
283177OtherVAMAMSI/OPTIMUM CHOICE
3116108340005EOtherVACIGNA
452226OtherVAANTHEM BCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XP3100XOrthopaedic Surgery - Pediatric Orthopaedic Surgery 0101229130 (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. James Marc Cardelia allows following entities to bill medicare on his behalf.
Entity NameChildren's Surgical Specialty Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245248947
PECOS PAC ID: 0244288470
Enrollment ID: O20050315000329

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. James Marc Cardelia 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
James Marc Cardelia, MD
Po Box 741593,
Atlanta, GA 30374-1593

Ph: (757) 668-8544
James Marc Cardelia, MD
171 Kempsville Rd, Building A,
Norfolk, VA 23502-4700

Ph: (757) 668-6550

Reviews and Comments


Orthopaedic Surgery Doctors in Norfolk, VA

Dr. John A Williamson, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 600 Gresham Dr, Ste 204, Norfolk, VA 23507
Phone: 757-388-5680    Fax: 757-388-5681
Harvey Sheldon St. Clair, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 171 Kempsville Rd, Building A, Norfolk, VA 23502
Phone: 757-668-6550    Fax: 757-668-6544
Mark Andrew Bewley, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 6160 Kempsville Cir, Suite 200b, Norfolk, VA 23502
Phone: 757-321-3300    Fax: 757-321-3332
Christopher Jackson, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 171 Kempsville Rd Ste 201, Norfolk, VA 23502
Phone: 757-668-6550    
Dr. Christopher Karrer Hersh, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 6160 Kempsville Cir, Suite 102a, Norfolk, VA 23502
Phone: 757-461-8300    Fax: 757-461-8967
Dr. Stephen H. Mccoy,
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 830 Southampton Ave, Norfolk, VA 23510
Phone: 757-446-0366    
John James Mcguigan Jr., BS, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 844 Kempsville Rd Ste 104, Norfolk, VA 23502
Phone: 757-252-5600    Fax: 757-226-0157

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.