Dr James Carroll Jr, MD - Medicare General Surgery in Worcester, MA

Dr James Carroll Jr, MD is a medicare enrolled "Surgery" physician in Worcester, Massachusetts. He went to Warren Alpert Medical School Of Brown University and graduated in 2006 and has 18 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Umass Memorial Medical Group Inc and his current practice location is 55 Lake Ave N, Department Of Surgery, Worcester, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 334-0545.

Dr James Carroll Jr is licensed to practice in Massachusetts (license number 238407) 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 1992854681.

Contact Information

Dr James Carroll Jr, MD
55 Lake Ave N, Department Of Surgery,
Worcester, MA 01655-0002
(508) 334-0545
(774) 443-0544

Map and Direction




Physician's Profile

Full NameDr James Carroll Jr
GenderMale
SpecialityGeneral Surgery
Experience18 Years
Location55 Lake Ave N, Worcester, Massachusetts
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 Carroll Jr attended and graduated from Warren Alpert Medical School Of Brown University in 2006
  NPI Data:
  • NPI Number: 1992854681
  • Provider Enumeration Date: 01/10/2007
  • Last Update Date: 11/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3678716362
  • Enrollment ID: I20130828000426

Medical Identifiers

Medical identifiers for Dr James Carroll Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992854681NPI-NPPES
110095660AMedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 238407 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Umass Memorial Medical Center/university CampusWorcester, MAHospital
Umass Memorial Healthcare-marlborough HospitalMarlborough, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Umass Memorial Medical Group Inc42845398911898

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 Carroll Jr allows following entities to bill medicare on his behalf.
Entity NameUmass Memorial Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760445373
PECOS PAC ID: 4284539891
Enrollment ID: O20040113000267

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 Carroll Jr 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 Carroll Jr, MD
Po Box 415348,
Boston, MA 02241-5348

Ph: (800) 225-8885
Dr James Carroll Jr, MD
55 Lake Ave N, Department Of Surgery,
Worcester, MA 01655-0002

Ph: (508) 334-0545

Reviews and Comments


Surgery Doctors in Worcester, MA

Elizabeth A Mahanor, MD
Surgery
Medicare: May Accept Medicare Assignments
Practice Location: 123 Summer St, Worcester, MA 01608
Phone: 508-368-3190    Fax: 508-368-3193
Dr. Craig A Paterson, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 119 Belmont St, Department Of General Surgery, Worcester, MA 01605
Phone: 508-334-8195    
Dr. John M Castle, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 281 Lincoln St, Department Of Surgery, Worcester, MA 01605
Phone: 508-334-5958    Fax: 508-334-5752
Frank Traupman, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 281 Lincoln St, Medical Staff Svcs, Worcester, MA 01605
Phone: 508-334-8015    
Philip A Cohen, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 55 Lake Ave N, Department Of Surgery, Worcester, MA 01655
Phone: 508-856-7559    Fax: 508-856-4224
Mary Elise Huerter, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 508-334-3278    Fax: 508-334-7284
Jennifer Fantasia, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 33 Kendall St, Worcester, MA 01605
Phone: 083-348-7655    Fax: 508-334-9477

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.