Matelin Paul Crosen, MD - Medicare Surgery in Winchester, VA

Matelin Paul Crosen, MD is a medicare enrolled "Surgery - Surgical Critical Care" physician in Winchester, Virginia. His current practice location is 190 Campus Blvd Ste 310, Winchester, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 536-0130.

Matelin Paul Crosen is licensed to practice in Virginia (license number 0101275856) 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 1013363043.

Contact Information

Matelin Paul Crosen, MD
190 Campus Blvd Ste 310,
Winchester, VA 22601-2872
(540) 536-0130
(540) 536-0140

Map and Direction




Physician's Profile

Full NameMatelin Paul Crosen
GenderMale
SpecialitySurgery - Surgical Critical Care
Location190 Campus Blvd Ste 310, Winchester, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013363043
  • Provider Enumeration Date: 05/09/2016
  • Last Update Date: 07/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3870885940
  • Enrollment ID: I20220809001047

Medical Identifiers

Medical identifiers for Matelin Paul Crosen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013363043NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0102XSurgery - Surgical Critical Care 0101275856 (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. Matelin Paul Crosen allows following entities to bill medicare on his behalf.
Entity NameWinchester Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679711261
PECOS PAC ID: 0244134021
Enrollment ID: O20031124000061
Entity NameValley Physician Enterprise Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538316203
PECOS PAC ID: 9931268091
Enrollment ID: O20081104000278

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. Matelin Paul Crosen 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
Matelin Paul Crosen, MD
220 Campus Blvd Ste 210,
Winchester, VA 22601-2889

Ph: (540) 536-5100
Matelin Paul Crosen, MD
190 Campus Blvd Ste 310,
Winchester, VA 22601-2872

Ph: (540) 536-0130

Reviews and Comments


Surgery Doctors in Winchester, VA

Lauren Elizabeth Rusy,
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 111 Lighthouse Ln, Winchester, VA 22602
Phone: 512-619-0014    
Dr. Matthew James Mayuiers, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 190 Campus Blvd Ste 310, Winchester, VA 22601
Phone: 540-536-0130    Fax: 540-536-0140
Anita Minghini, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 400 Campus Blvd., Suite 220, Winchester, VA 22601
Phone: 540-536-5466    Fax: 540-536-5475
Dr. Mark H Kumar, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1880 Amherst St Ste 300, Winchester, VA 22601
Phone: 540-536-6721    Fax: 540-536-6724
James P Dumont, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 20 S Stewart St, Winchester, VA 22601
Phone: 540-536-0130    Fax: 540-536-0135
Thomas J Gibson, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 20 S Stewart St, Suite 100, Winchester, VA 22601
Phone: 540-536-0130    Fax: 540-536-0135

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.