Dr James W Denham, MD - Medicare Pathology in Kingsport, TN

Dr James W Denham, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Kingsport, Tennessee. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 2002 and has 22 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Tri-cities Gastroenterology Llc, Sullivan And Ptrs, Gastrointestinal Associates Of Northeast Tennessee, Pc and his current practice location is 2204 Pavilion Dr, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 392-6343.

Dr James W Denham is licensed to practice in Tennessee (license number MD0000039760) 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 1902088644.

Contact Information

Dr James W Denham, MD
2204 Pavilion Dr,
Kingsport, TN 37660-4657
(423) 392-6343
Not Available

Map and Direction




Physician's Profile

Full NameDr James W Denham
GenderMale
SpecialityPathology
Experience22 Years
Location2204 Pavilion Dr, Kingsport, Tennessee
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 W Denham attended and graduated from Louisiana State University School Of Medicine In New Orleans in 2002
  NPI Data:
  • NPI Number: 1902088644
  • Provider Enumeration Date: 12/05/2007
  • Last Update Date: 03/08/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 3870755804
  • Enrollment ID: I20120508000555

Medical Identifiers

Medical identifiers for Dr James W Denham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902088644NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology MD0000039760 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tri-cities Gastroenterology Llc16583548654
Sullivan And Ptrs58908752644
Gastrointestinal Associates Of Northeast Tennessee, Pc741692339612

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 W Denham allows following entities to bill medicare on his behalf.
Entity NameTri-cities Gastroenterology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083639918
PECOS PAC ID: 1658354865
Enrollment ID: O20040609001152
Entity NameGastrointestinal Associates Of Northeast Tennessee, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578529632
PECOS PAC ID: 7416923396
Enrollment ID: O20040902000952
Entity NameSullivan And Ptrs
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003981093
PECOS PAC ID: 5890875264
Enrollment ID: O20080110000542

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 W Denham 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 W Denham, MD
2204 Pavilion Dr,
Kingsport, TN 37660-4657

Ph: (423) 392-6343
Dr James W Denham, MD
2204 Pavilion Dr,
Kingsport, TN 37660-4657

Ph: (423) 392-6343

Reviews and Comments


Pathology Doctors in Kingsport, TN

Dr. Emanuela Ft Veras, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-224-6711    Fax: 423-224-6717
Laura Evelyn Stewart, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-224-6711    Fax: 423-224-6717
Gary L Adelson, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-224-6718    Fax: 423-224-6717
Kristin Pierce, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-224-6718    Fax: 423-224-6717
Marcus C Grimes, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-224-6718    Fax: 423-224-6717
Christopher T Heitz, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-224-6711    Fax: 423-224-6717
Peter F Gale, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-224-6718    Fax: 423-224-6717

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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