Dr James R Doran, MD - Medicare Family Practice in Manchester, CT

Dr James R Doran, MD is a medicare enrolled "Family Medicine" physician in Manchester, Connecticut. He went to State University Of New York At Buffalo School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Prospect Ct Medical Foundation Inc and his current practice location is 629 Middle Tpke E, Manchester, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 649-6900.

Dr James R Doran is licensed to practice in Illinois (license number 036123550) 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 1942249610.

Contact Information

Dr James R Doran, MD
629 Middle Tpke E,
Manchester, CT 06040-3731
(860) 649-6900
(860) 647-0469

Map and Direction




Physician's Profile

Full NameDr James R Doran
GenderMale
SpecialityFamily Practice
Experience23 Years
Location629 Middle Tpke E, Manchester, Connecticut
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 R Doran attended and graduated from State University Of New York At Buffalo School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1942249610
  • Provider Enumeration Date: 06/06/2006
  • Last Update Date: 03/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5698701548
  • Enrollment ID: I20121113000430

Medical Identifiers

Medical identifiers for Dr James R Doran such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942249610NPI-NPPES
03704381MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036123550 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Manchester Memorial HospitalManchester, CTHospital
Rockville General HospitalRockville, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prospect Ct Medical Foundation Inc7416244496270

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 R Doran allows following entities to bill medicare on his behalf.
Entity NameNatchaug Hospital, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295811321
PECOS PAC ID: 5395648737
Enrollment ID: O20040202000008
Entity NameHartford Healthcare Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043561301
PECOS PAC ID: 1153573902
Enrollment ID: O20121201000007
Entity NameProspect Ct Medical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144677568
PECOS PAC ID: 7416244496
Enrollment ID: O20160919001322

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 R Doran 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 R Doran, MD
629 Middle Tpke E,
Manchester, CT 06040-3731

Ph: (860) 649-6900
Dr James R Doran, MD
629 Middle Tpke E,
Manchester, CT 06040-3731

Ph: (860) 649-6900

Reviews and Comments


Family Medicine Doctors in Manchester, CT

Dr. Quazi T Islam, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 515 Middle Tpke W, Manchester, CT 06040
Phone: 860-533-4176    
Dr. Barbara Louise Phillips, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 574 Middle Tpke E, Manchester, CT 06040
Phone: 860-646-4334    Fax: 860-646-7020
Gordon Brodie, M.D
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Medicare: Accepting Medicare Assignments
Practice Location: 375 E Center St, Manchester, CT 06040
Phone: 860-646-0166    Fax: 860-643-7574
Dr. Sheenay Kendra Pryce, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 515 Middle Tpke W, Manchester, CT 06040
Phone: 860-533-4175    
Dr. Brad Brooks, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 315 E Center St, Manchester, CT 06040
Phone: 860-533-0179    Fax: 866-603-4163
Mr. Serge Peter Poulin, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 315 E. Center St, Manchester, CT 06040
Phone: 860-649-6900    Fax: 860-647-0469
Kelli Harper, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 71 Haynes St, Manchester, CT 06040
Phone: 860-646-1222    

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).

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