Dr Gregg C Donaldson, MD - Medicare Internal Medicine in Cumberland, MD

Dr Gregg C Donaldson, MD is a medicare enrolled "Internal Medicine" physician in Cumberland, Maryland. His current practice location is 912 Seton Dr, Cumberland, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 722-3111.

Dr Gregg C Donaldson is licensed to practice in Maryland (license number D0042054) 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 1114920576.

Contact Information

Dr Gregg C Donaldson, MD
912 Seton Dr,
Cumberland, MD 21502-1818
(301) 722-3111
(301) 722-5135

Map and Direction




Physician's Profile

Full NameDr Gregg C Donaldson
GenderMale
SpecialityInternal Medicine
Location912 Seton Dr, Cumberland, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114920576
  • Provider Enumeration Date: 05/31/2005
  • Last Update Date: 02/04/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6608909148
  • Enrollment ID: I20100804000149

Medical Identifiers

Medical identifiers for Dr Gregg C Donaldson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114920576NPI-NPPES
766241601MedicaidMD
893415OtherMDIPA/OPTIMUM CHOICE
W3990008OtherBCBS FEDERAL
0011509001MedicaidPA
2000220000MedicaidWV
2100999OtherUNITED HEALTHCARE
990015534OtherRAILROAD MEDICARE
2117570OtherCIGNA
528302-02OtherBCBS POS
P14964OtherBCBS POS PRIMARY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine D0042054 (Maryland)Primary

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 Gregg C Donaldson allows following entities to bill medicare on his behalf.
Entity NameBraddock Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710980081
PECOS PAC ID: 2163419268
Enrollment ID: O20040429001023

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 Gregg C Donaldson 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 Gregg C Donaldson, MD
912 Seton Dr,
Cumberland, MD 21502-1818

Ph: (301) 722-3111
Dr Gregg C Donaldson, MD
912 Seton Dr,
Cumberland, MD 21502-1818

Ph: (301) 722-3111

Reviews and Comments


Internal Medicine Doctors in Cumberland, MD

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Dr. Christopher Haas, D.O.
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Dr. Qamar Ul Zaman, MD
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Practice Location: 12502 Willowbrook Rd, Suite 440, Cumberland, MD 21502
Phone: 301-777-3111    Fax: 301-777-0963

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.