Dr James Fletcher Koon, MD is a medicare enrolled "Family Medicine" physician in Kershaw, South Carolina. He went to Medical University Of South Carolina College Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Medcare Express - North Charleston Llc and his current practice location is
206 S Matson St, Kershaw, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 475-1156.
Dr James Fletcher Koon is licensed to practice in South Carolina (license number 18339) 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 1093792608.
Physician's Profile
Full Name | Dr James Fletcher Koon |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 35 Years |
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Location | 206 S Matson St, Kershaw, South Carolina |
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Accepts Medicare Assignments | Yes. 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 Fletcher Koon attended and graduated from Medical University Of South Carolina College Of Medicine in 1989
NPI Data:
- NPI Number: 1093792608
- Provider Enumeration Date: 12/23/2005
- Last Update Date: 08/05/2008
Medicare PECOS Information:
- PECOS PAC ID: 0042309965
- Enrollment ID: I20071130000046
Medical Identifiers
Medical identifiers for Dr James Fletcher Koon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093792608 | NPI | - | NPPES |
080179118 | Other | SC | RETIRED RR MEDICARE |
000000229650 | Other | SC | UNISON |
5532095 | Other | SC | AETNA |
8874326 | Other | SC | PPNI |
T24079 | Medicaid | SC | |
01153584 | Other | SC | AMERIGROUP |
20071782 | Other | SC | SELECT HEALTH |
21149333031 | Other | SC | BEECHSTREET |
A8973 | Other | SC | MEDCOST |
3091345 | Other | SC | CIGNA |
0141069 | Other | SC | CAROLINA CARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 18339 (South Carolina) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Medcare Express - North Charleston Llc | 7618074899 | 63 |
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 Fletcher Koon allows following entities to bill medicare on his behalf.
Entity Name | Medcare Express - North Charleston Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457579617 PECOS PAC ID: 7618074899 Enrollment ID: O20070523000200 |
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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 Fletcher Koon 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 Address | Practice Location Address |
Dr James Fletcher Koon, MD 206 S Matson St, Kershaw, SC 29067-1506 Ph: (803) 475-1156 | Dr James Fletcher Koon, MD 206 S Matson St, Kershaw, SC 29067-1506 Ph: (803) 475-1156 |
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