Dr James Dale Duncan, MD - Medicare Internal Medicine in Danville, KY

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Dr James Dale Duncan, MD is a medicare enrolled "Internal Medicine" physician in Danville, Kentucky. He went to University Of Kentucky College Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Kentuckyone Health Medical Group Inc and his current practice location is 478 Whirlaway Dr Ste 100, Danville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 236-6613.

Dr James Dale Duncan is licensed to practice in Kentucky (license number 35597) 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 1598725020.

Contact Information

Dr James Dale Duncan, MD
478 Whirlaway Dr Ste 100,
Danville, KY 40422-9037
(859) 236-6613
(859) 236-3558

Map and Direction




Physician's Profile

Full NameDr James Dale Duncan
GenderMale
SpecialityInternal Medicine
Experience27 Years
Location478 Whirlaway Dr Ste 100, Danville, Kentucky
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 Dale Duncan attended and graduated from University Of Kentucky College Of Medicine in 1997
  NPI Data:
  • NPI Number: 1598725020
  • Provider Enumeration Date: 03/27/2006
  • Last Update Date: 12/15/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6406994268
  • Enrollment ID: I20091116000356

Medical Identifiers

Medical identifiers for Dr James Dale Duncan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598725020NPI-NPPES
000000174966OtherKYBCBS
64010093MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 35597 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
CaretendersLexington, KYHome health agency
Heritage Hospice, IncDanville, KYHospice
Ephraim Mcdowell Regional Medical CenterDanville, KYHospital
Saint Joseph EastLexington, KYHospital
The Willows At HarrodsburgHarrodsburg, KYNursing home
Landmark Of Danville Rehabilitation And Nursing CeDanville, KYNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kentuckyone Health Medical Group Inc8820993702232

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 Dale Duncan allows following entities to bill medicare on his behalf.
Entity NameKentuckyone Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104875970
PECOS PAC ID: 8820993702
Enrollment ID: O20031204000080
Entity NameEphraim Mcdowell Regional Medical Center Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316141351
PECOS PAC ID: 3375506447
Enrollment ID: O20041109001051
Entity NameJames Duncan Md Consulting Service Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245830017
PECOS PAC ID: 6103238662
Enrollment ID: O20201208000664

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 Dale Duncan 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 Dale Duncan, MD
Po Box 1080,
Burkesville, KY 42717-1080

Ph: (270) 858-6655		Dr James Dale Duncan, MD
478 Whirlaway Dr Ste 100,
Danville, KY 40422-9037

Ph: (859) 236-6613

Reviews and Comments


Internal Medicine Doctors in Danville, KY

Dr. Mark I. Brunner, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 212 S 2nd St, Danville, KY 40422
Phone: 859-236-5302    Fax: 859-236-5025
Dr. Karl W Hempel, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 640 E Lexington Ave Ste B, Danville, KY 40422
Phone: 859-239-4950    Fax: 859-239-4959
John S Aumiller, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1250 Ben Ali Dr, Danville, KY 40422
Phone: 859-236-6621    Fax: 859-238-0471
Hafiz I Ahmad, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1250 Ben Ali Dr, Danville, KY 40422
Phone: 859-236-6220    Fax: 859-236-6675
Tory August Torma, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1541 Lebanon Rd Ste 1, Danville, KY 40422
Phone: 859-236-3208    
David Milton Culpepper, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 212 S 2nd St, Danville, KY 40422
Phone: 859-209-2269    
Dr. Edgar Ruben Salas, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 216 W Walnut St, Danville, KY 40422
Phone: 859-239-5860    Fax: 859-239-5869

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.