William Roger Visser, MD is a medicare enrolled "Urology" physician in Petersburg, Virginia. His current practice location is
40 Medical Park Blvd Ste D, Petersburg, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 765-6100.
William Roger Visser is licensed to practice in Virginia (license number 0101278183) 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 1700374758.
Physician's Profile
Full Name | William Roger Visser |
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Gender | Male |
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Speciality | Urology |
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Location | 40 Medical Park Blvd Ste D, Petersburg, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700374758
- Provider Enumeration Date: 04/25/2018
- Last Update Date: 08/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 6901153626
- Enrollment ID: I20231002001119
Medical Identifiers
Medical identifiers for William Roger Visser such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700374758 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 0101278183 (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. William Roger Visser allows following entities to bill medicare on his behalf.
Entity Name | Bon Secours Medical Group Richmond Specialty Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477112225 PECOS PAC ID: 8022440056 Enrollment ID: O20191113002170 |
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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. William Roger Visser 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 |
William Roger Visser, MD 40 Medical Park Blvd Ste D, Petersburg, VA 23805-9289 Ph: (804) 765-6100 | William Roger Visser, MD 40 Medical Park Blvd Ste D, Petersburg, VA 23805-9289 Ph: (804) 765-6100 |
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