Dr James Simmons, DO - Medicare Hospitalist in Fresno, CA

  1. Home
  2. Hospitalist
  3. CA
  4. Fresno
Dr James Simmons, DO is a medicare enrolled "Hospitalist" physician in Fresno, California. He went to At Still University, Arizona School Of Dentistry & Oral Hlth and graduated in 2011 and has 13 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Reedley Community Hospital, Galen Inpatient Physicians Pc and his current practice location is 155 N Fresno St, Fresno, California. You can reach out to his office (for appointments etc.) via phone at (559) 499-6500.

Dr James Simmons is licensed to practice in California (license number 20A12478) 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 1043519853.

Contact Information

Dr James Simmons, DO
155 N Fresno St,
Fresno, CA 93701-2302
(559) 499-6500
Not Available

Map and Direction




Physician's Profile

Full NameDr James Simmons
GenderMale
SpecialityHospitalist
Experience13 Years
Location155 N Fresno St, Fresno, California
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 Simmons attended and graduated from At Still University, Arizona School Of Dentistry & Oral Hlth in 2011
  NPI Data:
  • NPI Number: 1043519853
  • Provider Enumeration Date: 03/18/2011
  • Last Update Date: 11/01/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4981928769
  • Enrollment ID: I20150127001513

Medical Identifiers

Medical identifiers for Dr James Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043519853NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 20A12478 (California)Secondary
207RH0002XInternal Medicine - Hospice And Palliative Medicine 20A12478 (California)Secondary
208M00000XHospitalist 20A12478 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hinds Hospice - FresnoFresno, CAHospice
Adventist Health HanfordHanford, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Reedley Community Hospital094146098449
Galen Inpatient Physicians Pc3678464633442

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 Simmons allows following entities to bill medicare on his behalf.
Entity NameGalen Inpatient Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689320459
PECOS PAC ID: 3678464633
Enrollment ID: O20040322000680
Entity NameAdventist Health Physicians Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063718583
PECOS PAC ID: 3274580972
Enrollment ID: O20050407000633
Entity NameHinds Hospice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538143318
PECOS PAC ID: 5193991685
Enrollment ID: O20151218001096
Entity NameReedley Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336167550
PECOS PAC ID: 0941460984
Enrollment ID: O20201224000078

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 Simmons 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 Simmons, DO
5563 N Brent Ave,
Fresno, CA 93723-7658

Ph: (209) 603-9108		Dr James Simmons, DO
155 N Fresno St,
Fresno, CA 93701-2302

Ph: (559) 499-6500

Reviews and Comments


Hospitalist Doctors in Fresno, CA

Dr. Gloria Patricia Jimenez, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 2615 E Clinton Ave, Fresno, CA 93703
Phone: 559-225-6100    Fax: 559-241-6484
Dr. Amreet K. Aujla, M.D.
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 1187 E Herndon Ave Ste 101, Fresno, CA 93720
Phone: 559-440-0450    
Kenneth K. Latt, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 7300 N Fresno St, Fresno, CA 93720
Phone: 559-448-4500    
Dr. Pardeep Singh Bhullar, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 7370 N Palm Ave Ste 101, Fresno, CA 93711
Phone: 559-696-8046    
Lin Li, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 2823 Fresno St, Fresno, CA 93721
Phone: 559-459-4390    
Albert T. Wilburn, MD
Hospitalist
Medicare: Not Enrolled in Medicare
Practice Location: 7300 N Fresno St, Fresno, CA 93720
Phone: 559-448-4500    
Anand K. Nagrani, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 7300 N Fresno St, Fresno, CA 93720
Phone: 559-448-4500    

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.