Dr James Downey, MD - Medicare Pediatrics in Fleming Island, FL

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Dr James Downey, MD is a medicare enrolled "Pediatrics" physician in Fleming Island, Florida. His current practice location is 1851 Golden Eagle Way Ste 36, Fleming Island, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 375-9724.

Dr James Downey is licensed to practice in Florida (license number ME129225) 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 1821438037.

Contact Information

Dr James Downey, MD
1851 Golden Eagle Way Ste 36,
Fleming Island, FL 32003-4334
(904) 375-9724
(904) 644-7054

Map and Direction




Physician's Profile

Full NameDr James Downey
GenderMale
SpecialityPediatrics
Location1851 Golden Eagle Way Ste 36, Fleming Island, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821438037
  • Provider Enumeration Date: 07/02/2013
  • Last Update Date: 03/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7113223546
  • Enrollment ID: I20161115002738

Medical Identifiers

Medical identifiers for Dr James Downey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821438037NPI-NPPES
020332400MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics ME129225 (Florida)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 James Downey allows following entities to bill medicare on his behalf.
Entity NameSt Vincent's Ambulatory Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417987124
PECOS PAC ID: 2860411188
Enrollment ID: O20051116000430

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 Downey 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 Downey, MD
1851 Golden Eagle Way Ste 36,
Fleming Island, FL 32003-4334

Ph: (904) 568-4061		Dr James Downey, MD
1851 Golden Eagle Way Ste 36,
Fleming Island, FL 32003-4334

Ph: (904) 375-9724

Reviews and Comments


Pediatrics Doctors in Fleming Island, FL

Jennifer E Fordan-herman, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4611 Us Highway 17, Fleming Island, FL 32003
Phone: 904-264-4333    Fax: 904-264-4301
Emily Armstrong, APRN
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4611 Highway 17, Suite 2, Fleming Island, FL 32003
Phone: 904-264-4333    Fax: 904-264-4301

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.