Dr Calvin A Funkhouser, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Newport News, Virginia. His current practice location is
500 J Clyde Morris Blvd Dept Of, Newport News, Virginia. You can reach out to his office (for appointments etc.) via phone at
(757) 612-7200.
Dr Calvin A Funkhouser is licensed to practice in Virginia (license number 0116035964) 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 1417914789.
Provider's Profile
| Full Name | Dr Calvin A Funkhouser |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 500 J Clyde Morris Blvd Dept Of, Newport News, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417914789
- Provider Enumeration Date: 04/28/2006
- Last Update Date: 07/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 0547152209
- Enrollment ID: I20041228000659
Medical Identifiers
Medical identifiers for Dr Calvin A Funkhouser such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417914789 | NPI | - | NPPES |
| 010117801 | Medicaid | VA | |
| P00263494 | Other | VA | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 0110001910 (Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 0116035964 (Virginia) | Primary |
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. Dr Calvin A Funkhouser 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 |
|---|
Dr Calvin A Funkhouser, DO
68 Croatan Rd,
Newport News, VA 23606-2617
Ph: (540) 421-5557 | Dr Calvin A Funkhouser, DO
500 J Clyde Morris Blvd Dept Of,
Newport News, VA 23601-1929
Ph: (757) 612-7200 |
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