Dr James Pierce, MD - Medicare Surgery in Madera, CA

Dr James Pierce, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Madera, California. His current practice location is 9300 Valley Childrens Pl # Ge01, Madera, California. You can reach out to his office (for appointments etc.) via phone at (559) 353-7290.

Dr James Pierce is licensed to practice in California (license number A88011) 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 1215162607.

Contact Information

Dr James Pierce, MD
9300 Valley Childrens Pl # Ge01,
Madera, CA 93636-8761
(559) 353-7290
(559) 353-7286

Map and Direction




Physician's Profile

Full NameDr James Pierce
GenderMale
SpecialitySurgery - Pediatric Surgery
Location9300 Valley Childrens Pl # Ge01, Madera, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215162607
  • Provider Enumeration Date: 05/28/2009
  • Last Update Date: 03/11/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2961556675
  • Enrollment ID: I20090814000381

Medical Identifiers

Medical identifiers for Dr James Pierce such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215162607NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0120XSurgery - Pediatric Surgery A88011 (California)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 Pierce allows following entities to bill medicare on his behalf.
Entity NameValley Childrens Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437555265
PECOS PAC ID: 9032439336
Enrollment ID: O20150528001593

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 Pierce 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 Pierce, MD
9300 Valley Childrens Pl # Sc05,
Madera, CA 93636-8761

Ph: (559) 353-5700
Dr James Pierce, MD
9300 Valley Childrens Pl # Ge01,
Madera, CA 93636-8761

Ph: (559) 353-7290

Reviews and Comments


Surgery Doctors in Madera, CA

Candace Andrea Haddock,
Surgery
Medicare: Medicare Enrolled
Practice Location: 9300 Valley Childrens Pl, Madera, CA 93636
Phone: 559-353-7290    Fax: 559-353-7286
Dr. Shannon Leigh Castle, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 9300 Valley Childrens Pl # Sc05, Madera, CA 93636
Phone: 559-353-5700    Fax: 559-353-5708
Dr. Ghassan Simon Bachir, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 720 E. Almond Ave, Suite 103, Madera, CA 93637
Phone: 559-661-7000    
Mr. Stephen A De Santis, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1280 E. Almond Avenue, Madera, CA 93637
Phone: 559-673-9021    Fax: 559-673-0479
Mohammad Afzal Arain,
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1019 W Yosemite Ave, Madera, CA 93637
Phone: 559-673-8001    Fax: 559-673-8682
Dr. Muhammad Anwar, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1210 E Almond Ave Ste B, Madera, CA 93637
Phone: 559-675-2664    Fax: 559-675-5532

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.