Dr Jacob Isaiah Maddela, MD - Medicare Family Practice in Moneta, VA

Dr Jacob Isaiah Maddela, MD is a medicare enrolled "Family Medicine" physician in Moneta, Virginia. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Centra Medical Group Llc and his current practice location is 4830 Rucker Rd, Moneta, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 297-7181.

Dr Jacob Isaiah Maddela is licensed to practice in Virginia (license number 0101273060) 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 1538652813.

Contact Information

Dr Jacob Isaiah Maddela, MD
4830 Rucker Rd,
Moneta, VA 24121-5281
(540) 297-7181
Not Available



Physician's Profile

Full NameDr Jacob Isaiah Maddela
GenderMale
SpecialityFamily Practice
Experience7 Years
Location4830 Rucker Rd, Moneta, 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:
  • Dr Jacob Isaiah Maddela graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1538652813
  • Provider Enumeration Date: 06/11/2018
  • Last Update Date: 10/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5799035903
  • Enrollment ID: I20211005002365

Medical Identifiers

Medical identifiers for Dr Jacob Isaiah Maddela such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538652813NPI-NPPES
207Q00000XOtherVAFAMILY MEDICINE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101273060 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Centra Health - Lynchburg Gen HospitalLynchburg, VAHospital
Centra Bedford Memorial HospitalBedford, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Centra Medical Group Llc4789606088603

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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. Dr Jacob Isaiah Maddela allows following entities to bill medicare on his behalf.
Entity NameCentra Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649228966
PECOS PAC ID: 4789606088
Enrollment ID: O20051230000147

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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. Dr Jacob Isaiah Maddela 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
Dr Jacob Isaiah Maddela, MD
4830 Rucker Rd,
Moneta, VA 24121-5281

Ph: (540) 297-7181
Dr Jacob Isaiah Maddela, MD
4830 Rucker Rd,
Moneta, VA 24121-5281

Ph: (540) 297-7181

News Archive

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Family Medicine Doctors in Moneta, VA

Tiffany Ann Powell, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 70 Westwind Rd, Moneta, VA 24121
Phone: 540-721-7333    Fax: 540-721-4971
Virginia L. Blanks, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4830 Rucker Rd, Attn: Village Family Physicians, Moneta, VA 24121
Phone: 540-297-7181    Fax: 540-297-6145
Brandon K Cox, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4830 Rucker Rd, Moneta, VA 24121
Phone: 540-297-7181    
Kathryn L Sparhawk, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4830 Rucker Rd, Moneta, VA 24121
Phone: 540-297-7181    Fax: 540-297-6145
Todd H Dehli, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4830 Rucker Rd, Moneta, VA 24121
Phone: 540-297-7181    Fax: 540-297-6145
Steven Teeford Lewis, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 70 Westwind Rd, Moneta, VA 24121
Phone: 540-721-7333    Fax: 540-721-4971

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