Dr Pedro Sarmiento Jr, MD - Medicare Pediatrics in Waldorf, MD

Dr Pedro Sarmiento Jr, MD is a medicare enrolled "Pediatrics" physician in Waldorf, Maryland. His current practice location is 11885 Holly Lane, Suite 1, Waldorf, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 932-5299.

Dr Pedro Sarmiento Jr is licensed to practice in Maryland (license number D0039620) 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 1134102767.

Contact Information

Dr Pedro Sarmiento Jr, MD
11885 Holly Lane, Suite 1,
Waldorf, MD 20601
(301) 932-5299
(301) 645-9442

Map and Direction




Physician's Profile

Full NameDr Pedro Sarmiento Jr
GenderMale
SpecialityPediatrics
Location11885 Holly Lane, Waldorf, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134102767
  • Provider Enumeration Date: 11/29/2005
  • Last Update Date: 12/17/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9436301082
  • Enrollment ID: I20130312000054

Medical Identifiers

Medical identifiers for Dr Pedro Sarmiento Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134102767NPI-NPPES
1982753877OtherMDGROUP NPI FOR PEDIATRIC AFTER HOURS
188876-192159OtherVABCBS VA PIN FOR PEDIATRIC AFTER HOURS
KH18PE-52297105OtherMDBCBS MD PIN FOR PEDIATRIC AFTER HOURS
5228-0007OtherDCBCBS NCA PIN FOR PEDIATRIC AFTER HOURS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics D0039620 (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 Pedro Sarmiento Jr allows following entities to bill medicare on his behalf.
Entity NameMedstar Medical Group Ii Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184046187
PECOS PAC ID: 0547413825
Enrollment ID: O20130117000347

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 Pedro Sarmiento Jr 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 Pedro Sarmiento Jr, MD
11885 Holly Ln, Suite 1,
Waldorf, MD 20601-3181

Ph: (301) 932-5299
Dr Pedro Sarmiento Jr, MD
11885 Holly Lane, Suite 1,
Waldorf, MD 20601

Ph: (301) 932-5299

Reviews and Comments


Pediatrics Doctors in Waldorf, MD

Dr. Pankaj Vaidya, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3600 Leonardtown Rd, Suite 101, Waldorf, MD 20601
Phone: 301-645-4320    Fax: 301-843-2384
Dr. Adeteju Ogunrinde, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 605 Post Office Rd, Suite 102, Waldorf, MD 20602
Phone: 301-870-1789    Fax: 301-374-2662
Om P Chhabra, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3600 Leonardtown Rd, Suite 101, Waldorf, MD 20601
Phone: 301-645-5951    Fax: 301-843-2384
Alexandra Mountford,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3500 Old Washington Rd Ste 101, Waldorf, MD 20602
Phone: 301-885-5020    Fax: 240-419-5217
Misha Capri Purnell, CPNP
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3450 Old Washington Rd Ste 100, Waldorf, MD 20602
Phone: 301-572-3032    
Dr. Nikisha Holly Smith, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 11315 Pembrooke Sq, Suite 110, Waldorf, MD 20603
Phone: 301-645-6165    Fax: 301-843-7232

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.