Dr Raphael Fajardo Guanzon, MD - Medicare General Practice in Portsmouth, VA

Dr Raphael Fajardo Guanzon, MD is a medicare enrolled "General Practice" physician in Portsmouth, Virginia. His current practice location is 704 London St # A, Portsmouth, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 399-0513.

Dr Raphael Fajardo Guanzon is licensed to practice in Virginia (license number 0101026720) 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 1184732992.

Contact Information

Dr Raphael Fajardo Guanzon, MD
704 London St # A,
Portsmouth, VA 23704-2413
(757) 399-0513
Not Available



Physician's Profile

Full NameDr Raphael Fajardo Guanzon
GenderMale
SpecialityGeneral Practice
Location704 London St # A, Portsmouth, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184732992
  • Provider Enumeration Date: 08/29/2006
  • Last Update Date: 12/31/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 0648458356
  • Enrollment ID: I20110629000038

Medical Identifiers

Medical identifiers for Dr Raphael Fajardo Guanzon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184732992NPI-NPPES
005671213MedicaidVA
003121OtherVAANTHEM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 0101026720 (Virginia)Primary

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 Raphael Fajardo Guanzon 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 Raphael Fajardo Guanzon, MD
704 London St # A,
Portsmouth, VA 23704-2413

Ph: (757) 399-0513
Dr Raphael Fajardo Guanzon, MD
704 London St # A,
Portsmouth, VA 23704-2413

Ph: (757) 399-0513

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General Practice Doctors in Portsmouth, VA

Dr. Derek Matthew Miletich, M.D.
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-5000    
Dr. Edwin Gonzalez, M.D.
General Practice
Medicare: Medicare Enrolled
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-8229    Fax: 757-953-8225
Dr. Adrienne Dawn Pettebone, D.O.
General Practice
Medicare: Medicare Enrolled
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-1043    
Dr. Katie Marie Mcauliffe, M.D.
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 620 John Paul Jones Cir, Naval Medical Center Portsmouth, Portsmouth, VA 23708
Phone: 757-314-0830    
Dr. William R Shannon, MD
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-3238    
Dr. Joel Metzger, M.D.
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-1128    

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