James P Gutheil, MD - Medicare Orthopaedic Surgery in Lafayette, LA

James P Gutheil, MD is a medicare enrolled "Orthopaedic Surgery - Pediatric Orthopaedic Surgery" physician in Lafayette, Louisiana. His current practice location is 4704 Ambassador Caffery Pkwy, Lafayette, Louisiana. You can reach out to his office (for appointments etc.) via phone at (225) 765-5500.

James P Gutheil is licensed to practice in Louisiana (license number 343126) 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 1497790414.

Contact Information

James P Gutheil, MD
4704 Ambassador Caffery Pkwy,
Lafayette, LA 70508-6908
(225) 765-5500
(225) 765-5543

Map and Direction




Physician's Profile

Full NameJames P Gutheil
GenderMale
SpecialityOrthopaedic Surgery - Pediatric Orthopaedic Surgery
Location4704 Ambassador Caffery Pkwy, Lafayette, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497790414
  • Provider Enumeration Date: 06/17/2006
  • Last Update Date: 07/29/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6608879002
  • Enrollment ID: I20240524001869

Medical Identifiers

Medical identifiers for James P Gutheil such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497790414NPI-NPPES
150507103OtherTXFIRSTCARE
8BS953OtherTXBCBS
69435278MedicaidNM
160449807MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery L6924 (Texas)Secondary
207X00000XOrthopaedic Surgery MD219632 (Oregon)Secondary
207X00000XOrthopaedic Surgery 04-41342 (Kansas)Secondary
207XP3100XOrthopaedic Surgery - Pediatric Orthopaedic Surgery 343126 (Louisiana)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. James P Gutheil allows following entities to bill medicare on his behalf.
Entity NameLegacy Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902827272
PECOS PAC ID: 0244144004
Enrollment ID: O20031117000089

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. James P Gutheil 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
James P Gutheil, MD
5959 S Sherwood Forest Blvd,
Baton Rouge, LA 70816-6038

Ph: (225) 765-5500
James P Gutheil, MD
4704 Ambassador Caffery Pkwy,
Lafayette, LA 70508-6908

Ph: (225) 765-5500

Reviews and Comments


Orthopaedic Surgery Doctors in Lafayette, LA

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Phone: 337-235-8007    Fax: 337-235-8008

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.