Ronald Valencia, - Medicare Emergency Medicine in La Plata, MD

Ronald Valencia, is a medicare enrolled "Emergency Medicine" physician in La Plata, Maryland. He went to North Carolina Medical School and graduated in 2016 and has 8 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Emergency Medicine Associates Pa Pc and his current practice location is 5 Garrett Ave, La Plata, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 609-4000.

Ronald Valencia is licensed to practice in Maryland (license number D0087054) 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 1710332887.

Contact Information

Ronald Valencia,
5 Garrett Ave,
La Plata, MD 20646-5960
(301) 609-4000
Not Available

Map and Direction




Physician's Profile

Full NameRonald Valencia
GenderMale
SpecialityEmergency Medicine
Experience8 Years
Location5 Garrett Ave, La Plata, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ronald Valencia attended and graduated from North Carolina Medical School in 2016
  NPI Data:
  • NPI Number: 1710332887
  • Provider Enumeration Date: 04/26/2016
  • Last Update Date: 10/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2062748221
  • Enrollment ID: I20190725000814

Medical Identifiers

Medical identifiers for Ronald Valencia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710332887NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine D0087054 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Md Charles Regional Medical CenterLa plata, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emergency Medicine Associates Pa Pc8022914522382

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. Ronald Valencia allows following entities to bill medicare on his behalf.
Entity NameEmergency Medicine Associates Pa Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134117393
PECOS PAC ID: 8022914522
Enrollment ID: O20040126000955

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. Ronald Valencia 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
Ronald Valencia,
3128 Karen Ln,
Monroe, NC 28110-9324

Ph: () -
Ronald Valencia,
5 Garrett Ave,
La Plata, MD 20646-5960

Ph: (301) 609-4000

Reviews and Comments


Emergency Medicine Doctors in La Plata, MD

Ogheneochuko John Oteri, M.D
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5 Garrett Ave, La Plata, MD 20646
Phone: 301-609-4000    
Brooks Michael Briel, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 701 Charles St, La Plata, MD 20646
Phone: 240-686-2300    Fax: 240-686-2330
Patricia Melton, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 701 Charles St, La Plata, MD 20646
Phone: 301-609-4000    
Dr. Fernando Daniels Iii, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 701 Charles St, La Plata, MD 20646
Phone: 301-609-4000    

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.