Dr Michael Paul Downes Ii, MD - Medicare Psychiatry in Portsmouth, VA

Dr Michael Paul Downes Ii, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Portsmouth, Virginia. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice First Hospital Corporation Of Virginia Beach and his current practice location is 620 John Paul Jones Cir Bldg 3, Portsmouth, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 953-5269.

Dr Michael Paul Downes Ii is licensed to practice in Arizona (license number 51016) 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 1194088153.

Contact Information

Dr Michael Paul Downes Ii, MD
620 John Paul Jones Cir Bldg 3,
Portsmouth, VA 23708-2111
(757) 953-5269
Not Available

Map and Direction




Physician's Profile

Full NameDr Michael Paul Downes Ii
GenderMale
SpecialityPsychiatry
Experience12 Years
Location620 John Paul Jones Cir Bldg 3, Portsmouth, Virginia
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:
  • Dr Michael Paul Downes Ii graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1194088153
  • Provider Enumeration Date: 06/24/2012
  • Last Update Date: 06/15/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9133436694
  • Enrollment ID: I20200427001413

Medical Identifiers

Medical identifiers for Dr Michael Paul Downes Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194088153NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 51016 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
First Hospital Corporation Of Virginia Beach59917975817

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 Michael Paul Downes Ii allows following entities to bill medicare on his behalf.
Entity NameFirst Hospital Corporation Of Virginia Beach
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326071093
PECOS PAC ID: 5991797581
Enrollment ID: O20100617000148
Entity NameCity Of Norfolk
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306800198
PECOS PAC ID: 8325001951
Enrollment ID: O20140303001143

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 Michael Paul Downes Ii 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 Michael Paul Downes Ii, MD
620 John Paul Jones Cir Bldg 3,
Portsmouth, VA 23708-2111

Ph: (757) 953-5269
Dr Michael Paul Downes Ii, MD
620 John Paul Jones Cir Bldg 3,
Portsmouth, VA 23708-2111

Ph: (757) 953-5269

Reviews and Comments


Psychiatry & Neurology Doctors in Portsmouth, VA

Dr. James Loughlin Hegarty, DO
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-5283    
Savannah Lee Woodward, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-5000    
Dr. Neil Nigel Hines, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-5269    Fax: 757-953-6907
Dr. Velma A Bacak, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 3300 Academy Ave, Academy Crossing Medical Plaza, Portsmouth, VA 23703
Phone: 757-483-6404    Fax: 757-483-0737
Sallyanne Pyle, D.O
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-5269    Fax: 757-953-6907
Dr. Kenneth R Lovko, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 3300 Academy Ave, Academy Crossing Medical Plaza, Portsmouth, VA 23703
Phone: 757-483-6404    Fax: 757-483-0737
Dr. Karen Marie Parisien, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 620 John Paul Jones Cir, Psychiatry Department, Portsmouth, VA 23708
Phone: 757-953-5283    Fax: 757-953-6907

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.