Dr James A Ouellette, MD - Medicare Family Practice in Marlborough, CT

Dr James A Ouellette, MD is a medicare enrolled "Family Medicine" physician in Marlborough, Connecticut. He went to University Of Connecticut School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Prohealth Physicians Pc and his current practice location is 14 Jones Hollow Rd, Marlborough, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 295-8217.

Dr James A Ouellette is licensed to practice in Connecticut (license number 033867) 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 1457364564.

Contact Information

Dr James A Ouellette, MD
14 Jones Hollow Rd,
Marlborough, CT 06447-1448
(860) 295-8217
(860) 295-9734

Map and Direction




Physician's Profile

Full NameDr James A Ouellette
GenderMale
SpecialityFamily Practice
Experience32 Years
Location14 Jones Hollow Rd, Marlborough, Connecticut
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 James A Ouellette attended and graduated from University Of Connecticut School Of Medicine in 1992
  NPI Data:
  • NPI Number: 1457364564
  • Provider Enumeration Date: 08/14/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8729984679
  • Enrollment ID: I20040116000967

Medical Identifiers

Medical identifiers for Dr James A Ouellette such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457364564NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 033867 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Middlesex HospitalMiddletown, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prohealth Physicians Pc1355246950217

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 James A Ouellette allows following entities to bill medicare on his behalf.
Entity NameProhealth Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720194053
PECOS PAC ID: 1355246950
Enrollment ID: O20031205000602

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 James A Ouellette 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 James A Ouellette, MD
4 Farm Springs Rd, Prohealth Physicians,
Farmington, CT 06032-2573

Ph: (860) 284-5200
Dr James A Ouellette, MD
14 Jones Hollow Rd,
Marlborough, CT 06447-1448

Ph: (860) 295-8217

Reviews and Comments


Family Medicine Doctors in Marlborough, CT

Dr. Susan Buchek, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14 Jones Hollow Rd, Marlborough, CT 06447
Phone: 860-295-8217    Fax: 860-295-9734
Dr. Mark D Tuttle, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14 Jones Hollow Rd, Marlborough, CT 06447
Phone: 860-295-8217    Fax: 860-295-9734
Dr. Shruti Kumar,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14 Jones Hollow Rd, Marlborough, CT 06447
Phone: 860-295-8217    Fax: 860-295-9734
Dr. Thao Doran, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14 Jones Hollow Rd, Marlborough, CT 06447
Phone: 860-295-0436    
Dr. Christopher W Bentley, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14 Jones Hollow Rd, Marlborough, CT 06447
Phone: 860-295-8217    Fax: 860-295-9734

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.