Mr James William Endicott, MD is a medicare enrolled "Family Medicine" physician in Kermit, West Virginia. He went to Jc Edwards School Of Medicine, Marshall University and graduated in 1983 and has 41 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice University Physicians And Surgeons, Inc and his current practice location is
108 Mingo St, Kermit, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 393-4303.
Mr James William Endicott is licensed to practice in West Virginia (license number 14258) 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 1790782753.
Physician's Profile
| Full Name | Mr James William Endicott |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 41 Years |
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| Location | 108 Mingo St, Kermit, West Virginia |
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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:
- Mr James William Endicott attended and graduated from Jc Edwards School Of Medicine, Marshall University in 1983
NPI Data:
- NPI Number: 1790782753
- Provider Enumeration Date: 07/06/2005
- Last Update Date: 02/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 0143364596
- Enrollment ID: I20100223000400
Medical Identifiers
Medical identifiers for Mr James William Endicott such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790782753 | NPI | - | NPPES |
| 0051733000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 14258 (West Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Physicians And Surgeons, Inc | 2961315734 | 325 |
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. Mr James William Endicott allows following entities to bill medicare on his behalf.
| Entity Name | University Physicians & Surgeons, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730183286
PECOS PAC ID: 2961315734
Enrollment ID: O20031107000331 |
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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. Mr James William Endicott 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 |
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Mr James William Endicott, MD
Po Box 430,
Kermit, WV 25674-0430
Ph: (304) 393-4303 | Mr James William Endicott, MD
108 Mingo St,
Kermit, WV 25674-0430
Ph: (304) 393-4303 |
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