Dr R James Koness, MD - Medicare Surgical Oncology in Providence, RI

Dr R James Koness, MD is a medicare enrolled "Surgery" physician in Providence, Rhode Island. He went to State University Of New York At Buffalo School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Surgical Oncology. He is a member of the group practice Prospect Chartercare Rwmc, Llc and his current practice location is 50 Maude St, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 456-2441.

Dr R James Koness is licensed to practice in Rhode Island (license number 07304) 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 1750348157.

Contact Information

Dr R James Koness, MD
50 Maude St,
Providence, RI 02908-4325
(401) 456-2441
Not Available

Map and Direction




Physician's Profile

Full NameDr R James Koness
GenderMale
SpecialitySurgical Oncology
Experience41 Years
Location50 Maude St, Providence, Rhode Island
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 R James Koness attended and graduated from State University Of New York At Buffalo School Of Medicine in 1983
  NPI Data:
  • NPI Number: 1750348157
  • Provider Enumeration Date: 04/28/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1052302635
  • Enrollment ID: I20040521000684

Medical Identifiers

Medical identifiers for Dr R James Koness such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750348157NPI-NPPES
9006606MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 07304 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Roger Williams Medical CenterProvidence, RIHospital
Our Lady Of Fatima HospitalNorth providence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prospect Chartercare Rwmc, Llc054749269650

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 R James Koness allows following entities to bill medicare on his behalf.
Entity NameProspect Chartercare Sjhsri Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588089759
PECOS PAC ID: 7315179314
Enrollment ID: O20140722001928
Entity NameProspect Chartercare Rwmc, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285059287
PECOS PAC ID: 0547492696
Enrollment ID: O20140728001672

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 R James Koness 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 R James Koness, MD
50 Maude St,
Providence, RI 02908-4325

Ph: (401) 456-5368
Dr R James Koness, MD
50 Maude St,
Providence, RI 02908-4325

Ph: (401) 456-2441

Reviews and Comments


Surgery Doctors in Providence, RI

Aileen Hsueh,
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-8450    Fax: 401-444-5088
Liudmila Muraveika,
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5180    Fax: 401-444-6681
Todd S Stafford, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 195 Collyer St Ste 302, Providence, RI 02904
Phone: 401-228-0633    Fax: 401-793-5171
Chibueze Nwaiwu, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5471    Fax: 401-444-4557
Dr. Robert Ira Wolf, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5180    
Abigail Case, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5180    
Roberto M Vera, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-8450    Fax: 401-444-5088

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.