Dr John William Summerville, MD - Medicare Pathology in Petersburg, VA

Dr John William Summerville, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Petersburg, Virginia. He went to University Of Wisconsin School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Associated Pathologists Llc and his current practice location is 200 Medical Park Blvd, Petersburg, Virginia. You can reach out to his office (for appointments etc.) via phone at (615) 221-4400.

Dr John William Summerville is licensed to practice in Virginia (license number 0101041829) 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 1982604120.

Contact Information

Dr John William Summerville, MD
200 Medical Park Blvd,
Petersburg, VA 23805
(615) 221-4400
Not Available



Physician's Profile

Full NameDr John William Summerville
GenderMale
SpecialityPathology
Experience40 Years
Location200 Medical Park Blvd, 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:
  • Dr John William Summerville attended and graduated from University Of Wisconsin School Of Medicine in 1984
  NPI Data:
  • NPI Number: 1982604120
  • Provider Enumeration Date: 07/29/2005
  • Last Update Date: 06/10/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7719011071
  • Enrollment ID: I20100823000553

Medical Identifiers

Medical identifiers for Dr John William Summerville such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982604120NPI-NPPES
006603858MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 0101041829 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Winchester Medical CenterWinchester, VAHospital
Warren Memorial HospitalFront royal, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Associated Pathologists Llc0648167544103

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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 John William Summerville allows following entities to bill medicare on his behalf.
Entity NameAssociated Pathologists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003863580
PECOS PAC ID: 0648167544
Enrollment ID: O20150203001627

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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 John William Summerville 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 John William Summerville, MD
5301 Virginia Way Ste 300,
Brentwood, TN 37027-7542

Ph: (615) 221-4400
Dr John William Summerville, MD
200 Medical Park Blvd,
Petersburg, VA 23805

Ph: (615) 221-4400

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Pathology Doctors in Petersburg, VA

Dr. Danna Elizabeth Johnson, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805
Phone: 615-221-4400    
Dr. Manuel Borja Gonzales, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 801 S Adams St, Laboratory, Petersburg, VA 23803
Phone: 804-862-5010    
Dr. Edward Peter Nikicicz, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 801 S Adams St, Srmc, Lab, Petersburg, VA 23803
Phone: 804-862-5028    
Brad Thomas Siegmund, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805
Phone: 804-862-5010    

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