William Roger Visser, MD - Medicare Urology in Petersburg, VA

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William Roger Visser, MD is a medicare enrolled "Urology" physician in Petersburg, Virginia. He went to North Carolina Medical School and graduated in 2018 and has 8 years of diverse experience with area of expertise as Urology. He is a member of the group practice Bon Secours Medical Group Richmond Specialty Care Llc, Blue Ridge Medical Management Corporation and his current practice location is 40 Medical Park Blvd Ste D, Petersburg, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 765-6100.

William Roger Visser is licensed to practice in Virginia (license number 0101278183) 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 1700374758.

Contact Information

William Roger Visser, MD
40 Medical Park Blvd Ste D,
Petersburg, VA 23805-9289
(804) 765-6100
(804) 765-5373

Map and Direction




Physician's Profile

Full NameWilliam Roger Visser
GenderMale
SpecialityUrology
Experience8 Years
Location40 Medical Park Blvd Ste D, Petersburg, 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:
  • William Roger Visser attended and graduated from North Carolina Medical School in 2018
  NPI Data:
  • NPI Number: 1700374758
  • Provider Enumeration Date: 04/25/2018
  • Last Update Date: 04/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6901153626
  • Enrollment ID: I20231002001119

Medical Identifiers

Medical identifiers for William Roger Visser such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700374758NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 0101278183 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southside Regional Medical CenterPetersburg, VAHospital
Johnston Memorial HospitalAbingdon, VAHospital
Southern Virginia Regional Medical CenterEmporia, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bon Secours Medical Group Richmond Specialty Care Llc8022440056298
Blue Ridge Medical Management Corporation9739099441306

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. William Roger Visser allows following entities to bill medicare on his behalf.
Entity NameBlue Ridge Medical Management Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326159567
PECOS PAC ID: 9739099441
Enrollment ID: O20040715001336
Entity NameBon Secours Medical Group Richmond Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477112225
PECOS PAC ID: 8022440056
Enrollment ID: O20191113002170

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. William Roger Visser 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
William Roger Visser, MD
40 Medical Park Blvd Ste D,
Petersburg, VA 23805-9289

Ph: (804) 765-6100		William Roger Visser, MD
40 Medical Park Blvd Ste D,
Petersburg, VA 23805-9289

Ph: (804) 765-6100

Reviews and Comments


Urology Doctors in Petersburg, VA

Eugene L Park, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 40 Medical Park Blvd Ste D, Petersburg, VA 23805
Phone: 804-765-6100    Fax: 804-765-6101

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.