Dr Travis James, DO is a medicare enrolled "Dermatology" physician in Providence, Utah. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Dermatology. His current practice location is
169 N Gateway Dr Ste 100, Providence, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 554-1182.
Dr Travis James is licensed to practice in Utah (license number 11293840-1204) 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 1477818920.
Physician's Profile
| Full Name | Dr Travis James |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 12 Years |
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| Location | 169 N Gateway Dr Ste 100, Providence, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Travis James graduated from medical school in 2012
NPI Data:
- NPI Number: 1477818920
- Provider Enumeration Date: 07/11/2012
- Last Update Date: 05/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224328315
- Enrollment ID: I20190729000431
Medical Identifiers
Medical identifiers for Dr Travis James such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477818920 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | OP 60613648 (Washington) | Secondary |
| 207N00000X | Dermatology | O-0902 (Idaho) | Secondary |
| 207N00000X | Dermatology | 11293840-1204 (Utah) | 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 Travis James allows following entities to bill medicare on his behalf.
| Entity Name | Cbm Derm Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568029957
PECOS PAC ID: 9032541693
Enrollment ID: O20191120000665 |
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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 Travis James 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 Address | Practice Location Address |
|---|
Dr Travis James, DO
169 N Gateway Dr Ste 100,
Providence, UT 84332-9860
Ph: (435) 752-5741 | Dr Travis James, DO
169 N Gateway Dr Ste 100,
Providence, UT 84332-9860
Ph: (435) 554-1182 |
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