Dr Kristen Cercone, MD - Medicare Pediatrics in Winchester, VA

Dr Kristen Cercone, MD is a medicare enrolled "Pediatrics" physician in Winchester, Virginia. Her current practice location is 190 Campus Blvd Ste 400, Winchester, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 667-1727.

Dr Kristen Cercone is licensed to practice in Virginia (license number 0101271856) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952763625.

Contact Information

Dr Kristen Cercone, MD
190 Campus Blvd Ste 400,
Winchester, VA 22601-2872
(540) 667-1727
Not Available

Map and Direction




Physician's Profile

Full NameDr Kristen Cercone
GenderFemale
SpecialityPediatrics
Location190 Campus Blvd Ste 400, Winchester, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952763625
  • Provider Enumeration Date: 03/22/2016
  • Last Update Date: 06/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1850682436
  • Enrollment ID: I20190802000270

Medical Identifiers

Medical identifiers for Dr Kristen Cercone such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952763625NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207LC0200XAnesthesiology - Critical Care Medicine D87519 (Maryland)Secondary
208000000XPediatrics 0101271856 (Virginia)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 Kristen Cercone allows following entities to bill medicare on her behalf.
Entity NameJohns Hopkins University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922008549
PECOS PAC ID: 8921903147
Enrollment ID: O20031215000719
Entity NameJohns Hopkins University
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1992360861
PECOS PAC ID: 4981745098
Enrollment ID: O20190717001078

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 Kristen Cercone 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 Kristen Cercone, MD
190 Campus Blvd Ste 400,
Winchester, VA 22601-2872

Ph: (540) 667-1727
Dr Kristen Cercone, MD
190 Campus Blvd Ste 400,
Winchester, VA 22601-2872

Ph: (540) 667-1727

Reviews and Comments


Pediatrics Doctors in Winchester, VA

Dr. Jennifer D Currie, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1002-c Amherst Street, Winchester, VA 22601
Phone: 540-662-3853    Fax: 540-662-0336
Joseph Mcdonald Damron Jr., MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 190 Campus Blvd, Suite 400, Winchester, VA 22601
Phone: 540-667-1727    Fax: 540-722-3373
Dr. Holly Renee Mccurley-martin, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 629 Cedar Creek Grade Ste B, Winchester, VA 22601
Phone: 540-678-3950    Fax: 540-678-3954
Dr. D. Gregory Bott, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1870 Amherst St, Suite 1-b, Winchester, VA 22601
Phone: 540-667-6116    
Gita Haddadi, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 337 Westside Station Dr, Winchester, VA 22601
Phone: 540-667-5400    Fax: 540-722-9516
Philip A Schultz, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1002-c Amherst Street, Winchester, VA 22601
Phone: 540-662-3853    Fax: 540-662-0336
Mr. Jason W Robertson, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 190 Campus Blvd, Suite 400, Winchester, VA 22601
Phone: 540-667-1727    Fax: 540-722-3373

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).

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