Dr Margaret A Baumgarten, MD - Medicare Family Practice in Portsmouth, VA

Dr Margaret A Baumgarten, MD is a medicare enrolled "Family Medicine" physician in Portsmouth, Virginia. She graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Evms Academic Physicians And Surgeons Health Services Foundation and her current practice location is 3640 High St Ste 3b, Portsmouth, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 397-6344.

Dr Margaret A Baumgarten is licensed to practice in Virginia (license number 0101231807) 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 1023096559.

Contact Information

Dr Margaret A Baumgarten, MD
3640 High St Ste 3b,
Portsmouth, VA 23707-3213
(757) 397-6344
(757) 606-1185

Map and Direction




Physician's Profile

Full NameDr Margaret A Baumgarten
GenderFemale
SpecialityFamily Practice
Experience32 Years
Location3640 High St Ste 3b, Portsmouth, 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 Margaret A Baumgarten graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1023096559
  • Provider Enumeration Date: 01/05/2006
  • Last Update Date: 03/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6002820560
  • Enrollment ID: I20060203000450

Medical Identifiers

Medical identifiers for Dr Margaret A Baumgarten such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023096559NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101231807 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sentara Norfolk General HospitalNorfolk, VAHospital
Bon Secours Maryview Medical CenterPortsmouth, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Evms Academic Physicians And Surgeons Health Services Foundation5698675510185

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 Margaret A Baumgarten allows following entities to bill medicare on her behalf.
Entity NameEvms Academic Physicians And Surgeons Health Services Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003887118
PECOS PAC ID: 5698675510
Enrollment ID: O20040304001377

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 Margaret A Baumgarten 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 Margaret A Baumgarten, MD
Po Box 936,
Norfolk, VA 23501-0936

Ph: (757) 397-6344
Dr Margaret A Baumgarten, MD
3640 High St Ste 3b,
Portsmouth, VA 23707-3213

Ph: (757) 397-6344

Reviews and Comments


Family Medicine Doctors in Portsmouth, VA

Dr. Chung U Chung, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2595 Victory Blvd, Portsmouth, VA 23702
Phone: 757-487-4949    Fax: 757-487-5265
Dr. Himani Bhasin, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707
Phone: 757-264-5913    
Dr. Peter D Sherrod, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-2386    
Dr. Franklin M Soriano Jr., M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4725 Portsmouth Blvd, Portsmouth, VA 23701
Phone: 757-488-6400    Fax: 757-488-2572
Dr. Jose Hiram Rodriguez, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4106 Portsmouth Blvd, Portsmouth, VA 23701
Phone: 757-393-1136    Fax: 757-698-2499
Dr. Aron Rhodes Boney, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-8351    Fax: 757-953-8286

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.