James Dan Toney, MD - Medicare Otolaryngology in Tyler, TX

James Dan Toney, MD is a medicare enrolled "Otolaryngology" physician in Tyler, Texas. He went to University Of Texas Medical Branch At Galveston and graduated in 1968 and has 56 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Christus Trinity Clinic and his current practice location is 630 S Fleishel Ave, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 533-1491.

James Dan Toney is licensed to practice in Texas (license number D5234) 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 1336115104.

Contact Information

James Dan Toney, MD
630 S Fleishel Ave,
Tyler, TX 75701-2041
(903) 533-1491
Not Available

Map and Direction




Physician's Profile

Full NameJames Dan Toney
GenderMale
SpecialityOtolaryngology
Experience56 Years
Location630 S Fleishel Ave, Tyler, Texas
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:
  • James Dan Toney attended and graduated from University Of Texas Medical Branch At Galveston in 1968
  NPI Data:
  • NPI Number: 1336115104
  • Provider Enumeration Date: 02/23/2006
  • Last Update Date: 10/14/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4183751407
  • Enrollment ID: I20100419000465

Medical Identifiers

Medical identifiers for James Dan Toney such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336115104NPI-NPPES
141000301MedicaidTX
752616977010OtherTXTRICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology D5234 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Christus Mother Frances HospitalTyler, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Christus Trinity Clinic30724267411227

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 Dan Toney allows following entities to bill medicare on his behalf.
Entity NameChristus Trinity Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285684225
PECOS PAC ID: 3072426741
Enrollment ID: O20031204001091

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 Dan Toney 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 Dan Toney, MD
Po Box 846098,
Dallas, TX 75284-6098

Ph: (903) 324-6450
James Dan Toney, MD
630 S Fleishel Ave,
Tyler, TX 75701-2041

Ph: (903) 533-1491

Reviews and Comments


Otolaryngology Doctors in Tyler, TX

Dr. Monica Jane Hardee, MD
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Phone: 903-592-5601    Fax: 903-595-3304
Timothy Dale,
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Christopher A Perro, MD
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Practice Location: 2210 Three Lakes Pkwy Ste 100, Tyler, TX 75703
Phone: 903-747-4050    Fax: 903-747-4075
Scott Fraser Kohlert, MD
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Practice Location: 910 E Houston St Ste 530, Tyler, TX 75702
Phone: 903-606-4300    
Howard Scott Garb, MD
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Medicare: Medicare Enrolled
Practice Location: 1136 E Grande Blvd, Tyler, TX 75703
Phone: 903-592-5601    Fax: 903-595-3304
John Franklin Hudnall, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 3413 Golden Rd, Tyler, TX 75701
Phone: 903-592-5601    Fax: 903-595-3304

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.