Dr Serge E Depret-guillaume, MD - Medicare Family Practice in Roanoke, VA

Dr Serge E Depret-guillaume, MD is a medicare enrolled "Family Medicine" physician in Roanoke, Virginia. He went to University Of Virginia School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Lewis Gale Physicians Llc and his current practice location is 4910 Valley View Blvd Nw, Roanoke, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 265-4210.

Dr Serge E Depret-guillaume is licensed to practice in Virginia (license number 0101048363) 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 1063488534.

Contact Information

Dr Serge E Depret-guillaume, MD
4910 Valley View Blvd Nw,
Roanoke, VA 24012-2040
(540) 265-4210
(540) 265-4219

Map and Direction




Physician's Profile

Full NameDr Serge E Depret-guillaume
GenderMale
SpecialityFamily Practice
Experience33 Years
Location4910 Valley View Blvd Nw, Roanoke, 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 Serge E Depret-guillaume attended and graduated from University Of Virginia School Of Medicine in 1991
  NPI Data:
  • NPI Number: 1063488534
  • Provider Enumeration Date: 02/24/2006
  • Last Update Date: 02/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9931272853
  • Enrollment ID: I20080724000677

Medical Identifiers

Medical identifiers for Dr Serge E Depret-guillaume such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063488534NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101048363 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lewisgale Medical CenterSalem, VAHospital
Friendship Health And Rehab CenterRoanoke, VANursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lewis Gale Physicians Llc6507886231211

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 Serge E Depret-guillaume allows following entities to bill medicare on his behalf.
Entity NameLewis Gale Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902977705
PECOS PAC ID: 6507886231
Enrollment ID: O20051128000164
Entity NameRoanoke Valley Healthcare Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619274446
PECOS PAC ID: 0143490326
Enrollment ID: O20110825000335

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 Serge E Depret-guillaume 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 Serge E Depret-guillaume, MD
2000 Health Park Dr Fl Hp2,
Brentwood, TN 37027-4692

Ph: (615) 373-7600
Dr Serge E Depret-guillaume, MD
4910 Valley View Blvd Nw,
Roanoke, VA 24012-2040

Ph: (540) 265-4210

Reviews and Comments


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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.