Marc Gaines, MD - Medicare Internal Medicine in Virginia Beach, VA

Marc Gaines, MD is a medicare enrolled "Internal Medicine" physician in Virginia Beach, Virginia. His current practice location is 1860 Colonial Medical Ct, Virginia Beach, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 481-1113.

Marc Gaines is licensed to practice in Virginia (license number 0101027364) 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 1306819222.

Contact Information

Marc Gaines, MD
1860 Colonial Medical Ct,
Virginia Beach, VA 23454-3035
(757) 481-1113
(757) 496-3822

Map and Direction




Physician's Profile

Full NameMarc Gaines
GenderMale
SpecialityInternal Medicine
Location1860 Colonial Medical Ct, Virginia Beach, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306819222
  • Provider Enumeration Date: 02/10/2006
  • Last Update Date: 12/02/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 5597080481
  • Enrollment ID: I20150218000263

Medical Identifiers

Medical identifiers for Marc Gaines such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306819222NPI-NPPES
437513OtherVAANTHEM
541595397OtherVAAETNA
541595397OtherVAVIRGINIA HEALTH NETWORK
005801338MedicaidVA
541595397OtherVATRICARE
541595397OtherVAMID ATLANTIC SOLUTIONS
27260OtherVASENTARA/OPTIMA
541595397OtherVACIGNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 0101027364 (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. Marc Gaines allows following entities to bill medicare on his behalf.
Entity NameJencare Neighborhood Medical Center Virginia Beach Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770924789
PECOS PAC ID: 8921236167
Enrollment ID: O20140114001303

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. Marc Gaines 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
Marc Gaines, MD
Po Box 7068,
Portsmouth, VA 23707-0068

Ph: (757) 686-3542
Marc Gaines, MD
1860 Colonial Medical Ct,
Virginia Beach, VA 23454-3035

Ph: (757) 481-1113

Reviews and Comments


Internal Medicine Doctors in Virginia Beach, VA

Haidr Agha, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1157 First Colonial Rd, Ste 200, Virginia Beach, VA 23454
Phone: 757-623-0005    Fax: 757-389-5383
Howard Courtenay Harrison Sr., MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1101 First Colonial Rd, Suite 101, Virginia Beach, VA 23454
Phone: 757-496-9020    Fax: 757-481-0638
Vincent Lee, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 5516 Virginia Beach Blvd, Virginia Beach, VA 23462
Phone: 757-473-3969    
Dr. Sue Beth Hudson, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 802 Newtown Rd, Virginia Beach, VA 23462
Phone: 757-497-0606    Fax: 757-497-0411
Dr. Rosario Devera Hipol, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 701 Independence Cir Ste 102, Virginia Beach, VA 23455
Phone: 757-499-6395    Fax: 757-499-8026
Dr. Jonah Anyaogu Ulu Ezieme, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1060 First Colonial Rd, Virginia Beach, VA 23454
Phone: 757-395-2323    Fax: 757-827-2255
Dr. James Richard Miller, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1101 First Colonial Rd Ste 300, Virginia Beach, VA 23454
Phone: 757-395-1760    Fax: 757-756-5148

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.