Philomela Martirez Tabuena, MD - Medicare Family Practice in Martinsburg, WV

Philomela Martirez Tabuena, MD is a medicare enrolled "Family Medicine" physician in Martinsburg, West Virginia. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice East Mountain Health Physicians Inc and her current practice location is 1004 Tavern Rd, Martinsburg, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 264-4433.

Philomela Martirez Tabuena is licensed to practice in West Virginia (license number 23821) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467659102.

Contact Information

Philomela Martirez Tabuena, MD
1004 Tavern Rd,
Martinsburg, WV 25401-2864
(304) 264-4433
(304) 264-4446

Map and Direction




Physician's Profile

Full NamePhilomela Martirez Tabuena
GenderFemale
SpecialityFamily Practice
Experience27 Years
Location1004 Tavern Rd, Martinsburg, West Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Philomela Martirez Tabuena graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1467659102
  • Provider Enumeration Date: 06/27/2007
  • Last Update Date: 03/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8729125760
  • Enrollment ID: I20091026000042

Medical Identifiers

Medical identifiers for Philomela Martirez Tabuena such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467659102NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 23821 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Valley Health Home Health/west VirginiaRomney, WVHome health agency
Berkeley Medical CenterMartinsburg, WVHospital
Jefferson Medical CenterRanson, WVHospital
Winchester Medical CenterWinchester, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
East Mountain Health Physicians Inc913340532775

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. Philomela Martirez Tabuena allows following entities to bill medicare on her behalf.
Entity NameEast Mountain Health Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114460797
PECOS PAC ID: 9133405327
Enrollment ID: O20170425001245

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. Philomela Martirez Tabuena 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
Philomela Martirez Tabuena, MD
220 Campus Blvd, Ste 200,
Winchester, VA 22601-2889

Ph: (540) 536-5100
Philomela Martirez Tabuena, MD
1004 Tavern Rd,
Martinsburg, WV 25401-2864

Ph: (304) 264-4433

Reviews and Comments


Family Medicine Doctors in Martinsburg, WV

Dr. Mehran Khajavi, M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 1004 Sushruta Dr Ste C, Martinsburg, WV 25401
Phone: 304-264-0888    Fax: 304-264-0878
Dr. Travis Schildt, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 651 Foxcroft Ave, Suite 110, Martinsburg, WV 25401
Phone: 304-264-3660    Fax: 304-264-3665
Dr. Zangeetha Perinpanathan, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 61 Campus Dr Ste 200, Martinsburg, WV 25404
Phone: 304-274-6343    Fax: 304-596-5717
Dr. Anthony Kieler Rice Jr., M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 215 S Louisiana Ave Ste A, Martinsburg, WV 25401
Phone: 304-901-4197    Fax: 304-699-2943
Anne Delanoy, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 99 Tavern Rd, Martinsburg, WV 25401
Phone: 304-263-4999    
Alan Fischler, DO, MPH
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 510 Butler Ave, Geriatrics/ltc 11(g), Martinsburg, WV 25405
Phone: 304-263-0811    
Dr. Mary Ruth Motomal Lopez, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 233 Warm Springs Ave, Martinsburg, WV 25404
Phone: 304-262-8686    Fax: 240-485-0916

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.