Dr James Cernilia, MD - Medicare Thoracic Surgery in Newport Beach, CA

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Dr James Cernilia, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Newport Beach, California. He went to Tulane University School Of Medicine and graduated in 1990 and has 35 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Synergy Ct Surgery Partnership and his current practice location is 4695 Macarthur Ct, Suite 1100, Newport Beach, California. You can reach out to his office (for appointments etc.) via phone at (800) 525-7037.

Dr James Cernilia is licensed to practice in California (license number A49898) 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 1891804423.

Contact Information

Dr James Cernilia, MD
4695 Macarthur Ct, Suite 1100,
Newport Beach, CA 92660-1882
(800) 525-7037
Not Available

Map and Direction




Physician's Profile

Full NameDr James Cernilia
GenderMale
SpecialityThoracic Surgery
Experience35 Years
Location4695 Macarthur Ct, Newport Beach, California
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 Cernilia attended and graduated from Tulane University School Of Medicine in 1990
  NPI Data:
  • NPI Number: 1891804423
  • Provider Enumeration Date: 08/29/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5092798595
  • Enrollment ID: I20040607001477

Medical Identifiers

Medical identifiers for Dr James Cernilia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891804423NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) A49898 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Riverside Community HospitalRiverside, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Synergy Ct Surgery Partnership569893995713

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 Cernilia allows following entities to bill medicare on his behalf.
Entity NameSynergy Ct Surgery Partnership
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366711236
PECOS PAC ID: 5698939957
Enrollment ID: O20120618000312

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 Cernilia 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 Cernilia, MD
4695 Macarthur Court, Suite 1100,
Newport Beach, CA 92660

Ph: () -		Dr James Cernilia, MD
4695 Macarthur Ct, Suite 1100,
Newport Beach, CA 92660-1882

Ph: (800) 525-7037

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Newport Beach, CA

Dr. Aidan A. Raney Jr., M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 447 Old Newport Blvd Ste 200, Newport Beach, CA 92663
Phone: 949-650-3350    Fax: 949-650-1274
Dr. Asad Ali Shah, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 1 Hoag Dr, Newport Beach, CA 92663
Phone: 949-650-3350    
Daryl P Pearlstein, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 1 Hoag Drive, Cancer Center, Newport Beach, CA 92663
Phone: 949-650-3350    Fax: 949-650-1274
Dr. Anthony D. Caffarelli, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 447 Old Newport Blvd, Ste 200, Newport Beach, CA 92663
Phone: 949-650-3350    Fax: 949-465-0127
Dr. Timothy Mark Lee, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 1 Hoag Dr, Newport Beach, CA 92663
Phone: 949-650-3350    

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.