Edward James, MD - Medicare Pediatrics in Danbury, CT

Edward James, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Danbury, Connecticut. His current practice location is 24 Hospital Ave, Danbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 797-7150.

Edward James is licensed to practice in Connecticut (license number 026428) 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 1346258811.

Contact Information

Edward James, MD
24 Hospital Ave,
Danbury, CT 06810-6099
(203) 797-7150
Not Available

Map and Direction




Physician's Profile

Full NameEdward James
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location24 Hospital Ave, Danbury, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346258811
  • Provider Enumeration Date: 08/03/2006
  • Last Update Date: 11/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9234308057
  • Enrollment ID: I20110812000346

Medical Identifiers

Medical identifiers for Edward James such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346258811NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine 026428 (Connecticut)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. Edward James allows following entities to bill medicare on his behalf.
Entity NameYale University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205822236
PECOS PAC ID: 9436061736
Enrollment ID: O20031105000015
Entity NameConnecticut Children's Specialty Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669448882
PECOS PAC ID: 6002720117
Enrollment ID: O20031113000468

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. Edward 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 AddressPractice Location Address
Edward James, MD
24 Hospital Ave,
Danbury, CT 06810-6099

Ph: (203) 797-7150
Edward James, MD
24 Hospital Ave,
Danbury, CT 06810-6099

Ph: (203) 797-7150

Reviews and Comments


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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.

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