Dr Maria Sophia S Villanueva, MD - Medicare General Surgery in Winchester, VA

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Dr Maria Sophia S Villanueva, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Winchester, Virginia. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Valley Physician Enterprise Inc and her current practice location is 400 Campus Blvd Ste 210, Winchester, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 536-3470.

Dr Maria Sophia S Villanueva is licensed to practice in Virginia (license number 0101273219) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295058758.

Contact Information

Dr Maria Sophia S Villanueva, MD
400 Campus Blvd Ste 210,
Winchester, VA 22601-6906
(540) 536-3470
(540) 536-3471

Map and Direction




Physician's Profile

Full NameDr Maria Sophia S Villanueva
GenderFemale
SpecialityGeneral Surgery
Experience20 Years
Location400 Campus Blvd Ste 210, Winchester, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Maria Sophia S Villanueva graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1295058758
  • Provider Enumeration Date: 03/11/2010
  • Last Update Date: 03/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4688808553
  • Enrollment ID: I20210929002953

Medical Identifiers

Medical identifiers for Dr Maria Sophia S Villanueva such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295058758NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208C00000XColon & Rectal Surgery 0101273219 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Winchester Medical CenterWinchester, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Valley Physician Enterprise Inc9931268091205

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. Dr Maria Sophia S Villanueva allows following entities to bill medicare on her behalf.
Entity NameWinchester Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679711261
PECOS PAC ID: 0244134021
Enrollment ID: O20031124000061
Entity NameValley Physician Enterprise Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538316203
PECOS PAC ID: 9931268091
Enrollment ID: O20081104000278

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 Maria Sophia S Villanueva 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
Dr Maria Sophia S Villanueva, MD
400 Campus Blvd Ste 210,
Winchester, VA 22601-6906

Ph: (540) 536-3470		Dr Maria Sophia S Villanueva, MD
400 Campus Blvd Ste 210,
Winchester, VA 22601-6906

Ph: (540) 536-3470

Reviews and Comments



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.