Elmer C San Pedro, MD - Medicare Diagnostic Radiology in South Boston, VA

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Elmer C San Pedro, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in South Boston, Virginia. He graduated from medical school in 1988 and has 37 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Dominion Health Medical Assoc, Granville Health System and his current practice location is 2204 Wilborn Ave, South Boston, Virginia. You can reach out to his office (for appointments etc.) via phone at (434) 517-3187.

Elmer C San Pedro is licensed to practice in Virginia (license number 0101232533) 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 1174532535.

Contact Information

Elmer C San Pedro, MD
2204 Wilborn Ave,
South Boston, VA 24592-1645
(434) 517-3187
(434) 517-3686

Map and Direction




Physician's Profile

Full NameElmer C San Pedro
GenderMale
SpecialityDiagnostic Radiology
Experience37 Years
Location2204 Wilborn Ave, South Boston, 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:
  • Elmer C San Pedro graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1174532535
  • Provider Enumeration Date: 08/05/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7618050808
  • Enrollment ID: I20080211000855

Medical Identifiers

Medical identifiers for Elmer C San Pedro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174532535NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 0101232533 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sentara Halifax Regional HospitalSouth boston, VAHospital
Granville Health SystemsOxford, NCHospital
Cjw Medical CenterRichmond, VAHospital
Duke University HospitalDurham, NCHospital
Centra Health - Lynchburg Gen HospitalLynchburg, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dominion Health Medical Assoc125431155820
Granville Health System105222375765

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. Elmer C San Pedro allows following entities to bill medicare on his behalf.
Entity NameHalifax Radiological Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952465064
PECOS PAC ID: 9931198280
Enrollment ID: O20040511000798
Entity NameHalifax Regional Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588668842
PECOS PAC ID: 4587572805
Enrollment ID: O20040607000050
Entity NameDominion Health Medical Assoc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255771770
PECOS PAC ID: 1254311558
Enrollment ID: O20041206000840

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. Elmer C San Pedro 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
Elmer C San Pedro, MD
2204 Wilborn Ave,
South Boston, VA 24592-1645

Ph: (434) 517-3403		Elmer C San Pedro, MD
2204 Wilborn Ave,
South Boston, VA 24592-1645

Ph: (434) 517-3187

Reviews and Comments


Radiology Doctors in South Boston, VA

Dr. Dennis Clark Stanley, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 2204 Wilborn Avenue, South Boston, VA 24592
Phone: 434-517-3187    Fax: 434-517-3686
Dr. Arash Chehrazi, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2204 Wilborn Ave, South Boston, VA 24592
Phone: 434-517-3100    

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.