Dr Sean Sutphen, DO - Medicare Family Medicine in Winchester, VA

Dr Sean Sutphen, DO is a medicare enrolled "Family Medicine" physician in Winchester, Virginia. His current practice location is 607 E Jubal Early Dr, Winchester, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 536-2232.

Dr Sean Sutphen is licensed to practice in Virginia (license number 0102207523) 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 1124648696.

Contact Information

Dr Sean Sutphen, DO
607 E Jubal Early Dr,
Winchester, VA 22601-5178
(540) 536-2232
(540) 536-2206

Map and Direction




Physician's Profile

Full NameDr Sean Sutphen
GenderMale
SpecialityFamily Medicine
Location607 E Jubal Early Dr, Winchester, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124648696
  • Provider Enumeration Date: 04/24/2020
  • Last Update Date: 10/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5092137703
  • Enrollment ID: I20231009000277

Medical Identifiers

Medical identifiers for Dr Sean Sutphen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124648696NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0102207523 (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 Sean Sutphen allows following entities to bill medicare on his behalf.
Entity NameValley Regional Enterprises, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235178591
PECOS PAC ID: 0446164495
Enrollment ID: O20040715001410

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 Sean Sutphen 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 Sean Sutphen, DO
220 Campus Blvd Ste 210,
Winchester, VA 22601-2889

Ph: (540) 536-5100
Dr Sean Sutphen, DO
607 E Jubal Early Dr,
Winchester, VA 22601-5178

Ph: (540) 536-2232

Reviews and Comments


Family Medicine Doctors in Winchester, VA

Barbara Anne Harris Feshami, M.D.
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Phone: 540-678-0767    Fax: 540-678-0769
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Phone: 540-536-5560    Fax: 540-536-5561
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Medicare: Medicare Enrolled
Practice Location: 104 Selma Dr, Winchester, VA 22601
Phone: 540-678-2800    Fax: 540-667-0652

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.