Willoughby Shelton Hundley Iii, MD in Boydton, VA

Willoughby Shelton Hundley Iii, MD is a medicare enrolled "Emergency Medicine" physician in Boydton, Virginia. He went to Virginia Commonwealth University, School Of Medicine and graduated in 1981 and has 43 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Vidant Medical Group Llc and his current practice location is 969 Madison Street, Suite/box 297, Boydton, Virginia. You can reach out to his office (for appointments etc.) via phone at (434) 738-6911.

Willoughby Shelton Hundley Iii is licensed to practice in Virginia (license number 0101034527) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457328767.

Contact Information

	Willoughby Shelton Hundley Iii, MD
	969 Madison Street, Suite/box 297, Boydton, VA 23917
	(434) 738-6911
	(434) 738-0431

Map and Direction

Physician's Profile

Full Name	Willoughby Shelton Hundley Iii
Gender	Male
Speciality	Emergency Medicine
Experience	43 Years
Location	969 Madison Street, Boydton, Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Willoughby Shelton Hundley Iii attended and graduated from Virginia Commonwealth University, School Of Medicine in 1981

NPI Data:

NPI Number: 1457328767
Provider Enumeration Date: 03/06/2006
Last Update Date: 05/03/2024

Medicare PECOS Information:

PECOS PAC ID: 6002817012
Enrollment ID: I20070117000520

Medical Identifiers

Medical identifiers for Willoughby Shelton Hundley Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457328767	NPI	-	NPPES
5644810	Medicaid	VA
265659	Other	VI	ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	0101034527 (Virginia)	Primary
207P00000X	Emergency Medicine	9801679 (North Carolina)	Secondary
207Q00000X	Family Medicine	9801679 (North Carolina)	Secondary
207Q00000X	Family Medicine	0101034527 (Virginia)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vidant Roanoke Chowan Hospital	Ahoskie, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vidant Medical Group Llc	0345343893	850

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. Willoughby Shelton Hundley Iii allows following entities to bill medicare on his behalf.

Entity Name	Vidant Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445

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. Willoughby Shelton Hundley Iii 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
Willoughby Shelton Hundley Iii, MD Po Box 297, Boydton, VA 23917-0297 Ph: (434) 738-6911	Willoughby Shelton Hundley Iii, MD 969 Madison Street, Suite/box 297, Boydton, VA 23917 Ph: (434) 738-6911

Willoughby Shelton Hundley Iii, MD - Medicare Emergency Medicine in Boydton, VA