Dr Darrin Michael Wiederhold, DMD MS - Medicare Dentist in Richmond, VA

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Dr Darrin Michael Wiederhold, DMD MS is a medicare enrolled "Dentist" provider in Richmond, Virginia. His current practice location is 520 N 12th St, 4th Floor, Richmond, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 828-7752.

Dr Darrin Michael Wiederhold is licensed to practice in Virginia (license number 0401414219) 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 1790845808.

Contact Information

Dr Darrin Michael Wiederhold, DMD MS
520 N 12th St, 4th Floor,
Richmond, VA 23298-0566
(804) 828-7752
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Darrin Michael Wiederhold
GenderMale
SpecialityDentist
Location520 N 12th St, Richmond, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790845808
  • Provider Enumeration Date: 12/11/2006
  • Last Update Date: 12/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5698036671
  • Enrollment ID: I20240126003263

Medical Identifiers

Medical identifiers for Dr Darrin Michael Wiederhold such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790845808NPI-NPPES
DE61306850OtherWADENTAL LICENSE
0401414219OtherVALICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice DS036972 (Pennsylvania)Secondary
122300000XDentist 0401414219 (Virginia)Primary
1223G0001XDentist - General Practice 55531 (California)Secondary
1223G0001XDentist - General Practice DE61306850 (Washington)Secondary

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 Darrin Michael Wiederhold allows following entities to bill medicare on his behalf.
Entity NameScranton Primary Health Care Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801871579
PECOS PAC ID: 0941206650
Enrollment ID: O20061019000363

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 Darrin Michael Wiederhold 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 Darrin Michael Wiederhold, DMD MS
101 N 5th St Apt 1017,
Richmond, VA 23219-0013

Ph: (804) 828-7752		Dr Darrin Michael Wiederhold, DMD MS
520 N 12th St, 4th Floor,
Richmond, VA 23298-0566

Ph: (804) 828-7752

Reviews and Comments


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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.