Ophelia Adipa, MD - Medicare Pediatrics in Fredericksburg, VA

Ophelia Adipa, MD is a medicare enrolled "Pediatrics" physician in Fredericksburg, Virginia. Her current practice location is 1001 Sam Perry Blvd, Fredericksburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 741-3269.

Ophelia Adipa is licensed to practice in Virginia (license number 0101261192) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114211323.

Contact Information

Ophelia Adipa, MD
1001 Sam Perry Blvd,
Fredericksburg, VA 22401-4453
(540) 741-3269
Not Available

Map and Direction




Physician's Profile

Full NameOphelia Adipa
GenderFemale
SpecialityPediatrics
Location1001 Sam Perry Blvd, Fredericksburg, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114211323
  • Provider Enumeration Date: 06/06/2011
  • Last Update Date: 09/13/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8921223348
  • Enrollment ID: I20161107002564

Medical Identifiers

Medical identifiers for Ophelia Adipa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114211323NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD044457 (District Of Columbia)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
208000000XPediatrics 258115 (Massachusetts)Secondary
208000000XPediatrics 0101261192 (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. Ophelia Adipa allows following entities to bill medicare on her behalf.
Entity NameChildrens Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912939703
PECOS PAC ID: 0244143170
Enrollment ID: O20031107000130

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. Ophelia Adipa 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
Ophelia Adipa, MD
111 Michigan Ave Nw,
Washington, DC 20010-2916

Ph: () -
Ophelia Adipa, MD
1001 Sam Perry Blvd,
Fredericksburg, VA 22401-4453

Ph: (540) 741-3269

Reviews and Comments


Pediatrics Doctors in Fredericksburg, VA

Dr. Nisha K Surenderanath, M.D.
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Dr. Catherine Nana Abban, MD
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Phone: 540-891-0246    Fax: 540-891-0584
Dr. Sharon Young Shaw, MD
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Practice Location: 10600 Spotsylvania Ave, Fredericksburg, VA 22408
Phone: 804-380-3842    
Dr. Blair Mcclintock Ryland Lethbridge, D.O.
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Medicare: Not Enrolled in Medicare
Practice Location: 2632 Salem Church Rd, Fredericksburg, VA 22407
Phone: 540-899-3440    Fax: 540-899-3434

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.