Dr James C Mathews, DO - Medicare Emergency Medicine in Durham, NC

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Dr James C Mathews, DO is a medicare enrolled "Emergency Medicine" physician in Durham, North Carolina. His current practice location is 3400 Wake Forest Road, Durham, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 954-3271.

Dr James C Mathews is licensed to practice in North Carolina (license number 2011-00660) 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 1205977451.

Contact Information

Dr James C Mathews, DO
3400 Wake Forest Road,
Durham, NC 27713-4430
(919) 954-3271
Not Available

Map and Direction




Physician's Profile

Full NameDr James C Mathews
GenderMale
SpecialityEmergency Medicine
Location3400 Wake Forest Road, Durham, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205977451
  • Provider Enumeration Date: 02/09/2007
  • Last Update Date: 09/13/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6709989700
  • Enrollment ID: I20110517000914

Medical Identifiers

Medical identifiers for Dr James C Mathews such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205977451NPI-NPPES
036-117010OtherILSTATE MEDICAL LICENSE
5101018516OtherMIMICHIGAN MEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036-117010 (Illinois)Secondary
207P00000XEmergency Medicine 5101018516 (Michigan)Secondary
207P00000XEmergency Medicine 2011-00660 (North Carolina)Primary

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 C Mathews allows following entities to bill medicare on his behalf.
Entity NameDuke University Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376574798
PECOS PAC ID: 2567372345
Enrollment ID: O20031126000274
Entity NameEmergency Coverage Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427005008
PECOS PAC ID: 3072412592
Enrollment ID: O20100202000365
Entity NameBull City Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770004285
PECOS PAC ID: 6901164938
Enrollment ID: O20171221001735
Entity NameGem Capital Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225524598
PECOS PAC ID: 8628320918
Enrollment ID: O20181015003602

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 C Mathews 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 C Mathews, DO
5213 S Alston Ave,
Durham, NC 27713-4430

Ph: (847) 924-8265		Dr James C Mathews, DO
3400 Wake Forest Road,
Durham, NC 27713-4430

Ph: (919) 954-3271

Reviews and Comments


Emergency Medicine Doctors in Durham, NC

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Charles Gerardo, M.D.
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Dr. Benjamin Louis Oshlag, M.D.
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Practice Location: 2301 Erwin Rd, Durham, NC 27705
Phone: 919-684-5537    Fax: 919-681-8521
Joy Martin,
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Practice Location: 2100 Erwin Rd, Durham, NC 27710
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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.