Dr Richard M Whalen, MD - Medicare Family Practice in Norfolk, VA

Dr Richard M Whalen, MD is a medicare enrolled "Family Medicine" physician in Norfolk, Virginia. He went to Eastern Virginia Medical School and graduated in 1985 and has 39 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Evms Academic Physicians And Surgeons Health Services Foundation and his current practice location is 825 Fairfax Ave, Suite 118, Norfolk, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 446-5955.

Dr Richard M Whalen is licensed to practice in Virginia (license number 0101039984) 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 1003881483.

Contact Information

Dr Richard M Whalen, MD
825 Fairfax Ave, Suite 118,
Norfolk, VA 23507-1914
(757) 446-5955
(757) 446-5196

Map and Direction




Physician's Profile

Full NameDr Richard M Whalen
GenderMale
SpecialityFamily Practice
Experience39 Years
Location825 Fairfax Ave, Norfolk, 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 Richard M Whalen attended and graduated from Eastern Virginia Medical School in 1985
  NPI Data:
  • NPI Number: 1003881483
  • Provider Enumeration Date: 02/21/2006
  • Last Update Date: 10/03/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8729052428
  • Enrollment ID: I20040819001057

Medical Identifiers

Medical identifiers for Dr Richard M Whalen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003881483NPI-NPPES
-002OtherVATRICARE/CHAMPUS
426444OtherVAANTHEM BC/BS
PAROtherVAAETNA
PAROtherVAVIRGINIA HEALTH NETWORK
PAROtherVAVIRGINA PREMIER HEALTH PLAN
5917806MedicaidNC
PAROtherVAMULTIPLAN
PAROtherVAUSA MANAGED CARE
1003881483MedicaidVA
426447OtherVAANTHEM BC/BS
PAROtherVACORVEL
78535OtherVAOPTIMA HEALTH
PAROtherVACIGNA
PAROtherVAFIRST HEALTH COMMERCIAL/COVENTRY HEALTH/SOUTHERN HEALTH
PAROtherVAUNITED HEALTHCARE/MAMSI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101039984 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Westminster-canterbury At Home LlcVirginia beach, VAHospice
Sentara Norfolk General HospitalNorfolk, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Evms Academic Physicians And Surgeons Health Services Foundation5698675510187

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 Richard M Whalen allows following entities to bill medicare on his 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 Richard M Whalen 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 Richard M Whalen, MD
Po Box 936,
Norfolk, VA 23501-0936

Ph: (757) 446-5955
Dr Richard M Whalen, MD
825 Fairfax Ave, Suite 118,
Norfolk, VA 23507-1914

Ph: (757) 446-5955

Reviews and Comments


Family Medicine Doctors in Norfolk, VA

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Alan Joseph Nicotra, D.O.
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Sajuma Bhaju, MD
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Practice Location: 600 Gresham Dr Fl 5, Norfolk, VA 23507
Phone: 757-388-3198    Fax: 757-686-0541

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.