Dr James Whitney James, MD - Medicare Internal Medicine in Berkeley Heights, NJ

Dr James Whitney James, MD is a medicare enrolled "Hospitalist" physician in Berkeley Heights, New Jersey. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Summit Medical Group Pa and his current practice location is 1 Diamond Hill Rd, Berkeley Heights, New Jersey. You can reach out to his office (for appointments etc.) via phone at (908) 273-4300.

Dr James Whitney James is licensed to practice in New Jersey (license number 25MA11190000) 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 1689105975.

Contact Information

Dr James Whitney James, MD
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104
(908) 273-4300
Not Available

Map and Direction




Physician's Profile

Full NameDr James Whitney James
GenderMale
SpecialityInternal Medicine
Experience10 Years
Location1 Diamond Hill Rd, Berkeley Heights, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr James Whitney James graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1689105975
  • Provider Enumeration Date: 03/27/2017
  • Last Update Date: 10/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2466706734
  • Enrollment ID: I20211028001585

Medical Identifiers

Medical identifiers for Dr James Whitney James such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689105975NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine 307103 (New York)Secondary
208M00000XHospitalist 25MA11190000 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Overlook Medical CenterSummit, NJHospital
Saint Barnabas Medical CenterLivingston, NJHospital
Spring Grove Rehabilitation And Healthcare CenterNew providence, NJNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group Pa53956422761253

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 Whitney James allows following entities to bill medicare on his behalf.
Entity NameSummit Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011

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 Whitney 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
Dr James Whitney James, MD
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104

Ph: (908) 273-4300
Dr James Whitney James, MD
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104

Ph: (908) 273-4300

Reviews and Comments


Hospitalist Doctors in Berkeley Heights, NJ

Yosleisy Valdes Hernandez, MD
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922
Phone: 866-396-9344    Fax: 908-830-0920
Lauren B. Vanover,
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922
Phone: 908-273-4300    
Dr. Jiyoung Wong, D.O
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922
Phone: 866-396-9344    
Nicky Desai, M.D
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922
Phone: 908-273-4300    
Dr. Pritha Sharma, M.D., M.P.H
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922
Phone: 908-273-4300    

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).

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