Mark Wantaja, DO - Medicare Internal Medicine in Norton, VA

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Mark Wantaja, DO is a medicare enrolled "Internal Medicine" physician in Norton, Virginia. His current practice location is 96 15th St Nw, Norton, Virginia. You can reach out to his office (for appointments etc.) via phone at (276) 679-3488.

Mark Wantaja is licensed to practice in Virginia (license number 0116034298) 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 1750907143.

Contact Information

Mark Wantaja, DO
96 15th St Nw,
Norton, VA 24273-1625
(276) 679-3488
Not Available

Map and Direction




Physician's Profile

Full NameMark Wantaja
GenderMale
SpecialityInternal Medicine
Location96 15th St Nw, Norton, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750907143
  • Provider Enumeration Date: 06/22/2020
  • Last Update Date: 07/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7911325121
  • Enrollment ID: I20230804002388

Medical Identifiers

Medical identifiers for Mark Wantaja such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750907143NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine OP61432898 (Washington)Secondary
207R00000XInternal Medicine 0116034298 (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. Mark Wantaja allows following entities to bill medicare on his behalf.
Entity NamePeacehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720056187
PECOS PAC ID: 5890689293
Enrollment ID: O20040209000272

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. Mark Wantaja 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
Mark Wantaja, DO
110 Clinton Ave E,
Big Stone Gap, VA 24219-2924

Ph: (360) 355-4215		Mark Wantaja, DO
96 15th St Nw,
Norton, VA 24273-1625

Ph: (276) 679-3488

Reviews and Comments


Internal Medicine Doctors in Norton, VA

Clayton Cavanaugh Davis, DO
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 100 15th St Nw, Norton, VA 24273
Phone: 276-439-1000    
Dr. Brian Scott Newberry, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1490 Park Ave Nw, Suite 3, Norton, VA 24273
Phone: 276-679-8890    Fax: 276-679-9740
Romulo Abrantes Fajardo, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 340 Anderson Hollow Rd, Norton, VA 24273
Phone: 276-679-5880    Fax: 276-679-9156
Dr. Roy R Deel, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 15th St Nw, Norton, VA 24273
Phone: 423-630-7001    
Shipeng Yu, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 615 Commonwealth Dr, Norton, VA 24273
Phone: 276-679-0252    Fax: 276-679-6498
Dr. Jody B. Bentley, D.O.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 96 15th St Nw, Suite 111, Norton, VA 24273
Phone: 276-439-1860    Fax: 276-439-1865
Nicholas A. Cook, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 671 Highway 58 E, Norton, VA 24273
Phone: 276-679-5874    Fax: 276-679-6912

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.