Michael L Gwaltney, MD - Medicare Pediatrics in Fishersville, VA

Michael L Gwaltney, MD is a medicare enrolled "Pediatrics" physician in Fishersville, Virginia. His current practice location is 78 Medical Center Dr, Fishersville, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 932-4075.

Michael L Gwaltney is licensed to practice in Virginia (license number 0101249737) 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 1386802015.

Contact Information

Michael L Gwaltney, MD
78 Medical Center Dr,
Fishersville, VA 22939-2332
(540) 932-4075
(540) 932-5199

Map and Direction




Physician's Profile

Full NameMichael L Gwaltney
GenderMale
SpecialityPediatrics
Location78 Medical Center Dr, Fishersville, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386802015
  • Provider Enumeration Date: 05/29/2008
  • Last Update Date: 02/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7315118601
  • Enrollment ID: I20110916000372

Medical Identifiers

Medical identifiers for Michael L Gwaltney such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386802015NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 0101249737 (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. Michael L Gwaltney allows following entities to bill medicare on his behalf.
Entity NameWinchester Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679711261
PECOS PAC ID: 0244134021
Enrollment ID: O20031124000061
Entity NameInova Health Care Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952320061
PECOS PAC ID: 2466351093
Enrollment ID: O20080806000696
Entity NameAdfinitas Health At Fauquier Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225558109
PECOS PAC ID: 1557627494
Enrollment ID: O20171109002793

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. Michael L Gwaltney 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
Michael L Gwaltney, MD
Po Box 388,
Fishersville, VA 22939-0388

Ph: (540) 932-5162
Michael L Gwaltney, MD
78 Medical Center Dr,
Fishersville, VA 22939-2332

Ph: (540) 932-4075

Reviews and Comments


Pediatrics Doctors in Fishersville, VA

Michelle A. Brooks, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 57 Beam Ln Ste 202, Fishersville, VA 22939
Phone: 540-932-0980    Fax: 434-932-0979
Rebecca L Isbell, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 22 N Medical Park Dr, Fishersville, VA 22939
Phone: 540-932-5373    Fax: 540-932-5382
John Stephen Campbell, M.D
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 184 Hickory Hill Rd, Fishersville, VA 22939
Phone: 540-932-2222    Fax: 540-886-7364
Samuel Cross,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 57 Beam Ln Ste 202, Fishersville, VA 22939
Phone: 540-932-0980    Fax: 540-932-0979
Krista Rose Roncone, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 78 Medical Center Dr, Fishersville, VA 22939
Phone: 540-332-4000    
Mr. Evan B Karp, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 57 Beam Ln Ste 202, Fishersville, VA 22939
Phone: 540-932-0980    Fax: 540-932-0979

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).

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