Dr James R Guadagni, MD - Medicare Orthopaedic Surgery in Visalia, CA

Dr James R Guadagni, MD is a medicare enrolled "Orthopaedic Surgery" physician in Visalia, California. His current practice location is 5400 W Hillsdale Ave, Visalia, California. You can reach out to his office (for appointments etc.) via phone at (559) 738-7500.

Dr James R Guadagni is licensed to practice in California (license number G53529) 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 1013913664.

Contact Information

Dr James R Guadagni, MD
5400 W Hillsdale Ave,
Visalia, CA 93291-8222
(559) 738-7500
(559) 738-7586

Map and Direction




Physician's Profile

Full NameDr James R Guadagni
GenderMale
SpecialityOrthopaedic Surgery
Location5400 W Hillsdale Ave, Visalia, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013913664
  • Provider Enumeration Date: 06/27/2005
  • Last Update Date: 10/03/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3072689512
  • Enrollment ID: I20080905000520

Medical Identifiers

Medical identifiers for Dr James R Guadagni such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013913664NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery G53529 (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 R Guadagni allows following entities to bill medicare on his behalf.
Entity NameKaweah Delta Health Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619353042
PECOS PAC ID: 4082923818
Enrollment ID: O20151019001526

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 Guadagni 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 Guadagni, MD
5400 W Hillsdale Ave,
Visalia, CA 93291-8222

Ph: (559) 738-7550
Dr James R Guadagni, MD
5400 W Hillsdale Ave,
Visalia, CA 93291-8222

Ph: (559) 738-7500

Reviews and Comments


Orthopaedic Surgery Doctors in Visalia, CA

Timothy Lang Tan, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2300 W Sunnyside Ave, Visalia, CA 93277
Phone: 559-731-2009    Fax: 866-833-7251
Dr. Donald R Schengel, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 820 S Akers, 220, Visalia, CA 93277
Phone: 559-733-3346    Fax: 559-733-5059
Dr. Burton L. Redd, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 820 S Akers, 220, Visalia, CA 93277
Phone: 559-625-0551    Fax: 559-733-4475
Dr. Bruce N. Le, DO, MS
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 820 South Akers, 220, Visalia, CA 93277
Phone: 559-625-0551    Fax: 559-733-4475
Dr. Jason Andrew Mihalcin, D.O.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 5400 W Hillsdale Ave, Visalia, CA 93291
Phone: 559-738-7550    Fax: 559-738-7586
Dr. J. Philip Maloney, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 3710 W Mineral King Ave, Visalia, CA 93291
Phone: 559-627-5400    Fax: 559-627-5914

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.