Claudia Jones, MD - Medicare Pathology in Durham, NC

Claudia Jones, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Durham, North Carolina. Her current practice location is 2100 Erwin Rd, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 620-4467.

Claudia Jones is licensed to practice in North Carolina (license number 98-01323) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326122482.

Contact Information

Claudia Jones, MD
2100 Erwin Rd,
Durham, NC 27710-0001
(919) 620-4467
Not Available

Map and Direction




Physician's Profile

Full NameClaudia Jones
GenderFemale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location2100 Erwin Rd, Durham, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326122482
  • Provider Enumeration Date: 10/25/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2163567066
  • Enrollment ID: I20100303000581

Medical Identifiers

Medical identifiers for Claudia Jones such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326122482NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 98-01323 (North Carolina)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. Claudia Jones allows following entities to bill medicare on her behalf.
Entity NamePrivate Diagnostic Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457389033
PECOS PAC ID: 1355254368
Enrollment ID: O20031204000577

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. Claudia Jones 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
Claudia Jones, MD
2100 Erwin Rd, Duke University Medical Center - Dumc 3712,
Durham, NC 27710-0001

Ph: () -
Claudia Jones, MD
2100 Erwin Rd,
Durham, NC 27710-0001

Ph: (919) 620-4467

Reviews and Comments


Pathology Doctors in Durham, NC

Dr. Maureane Hoffman, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 508 Fulton St, Lab Service (113), Durham, NC 27705
Phone: 919-286-0411    Fax: 919-286-6818
Dr. Jane Taylor Gaede, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 508 Fulton St, Section 113, Durham, NC 27705
Phone: 919-286-6925    Fax: 919-286-6818
Dr. John Francis Madden, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Erwin Rd, Durham, NC 27710
Phone: 919-620-4467    
Laura Barisoni-thomas, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 40 Duke Medicine Cir, Durham, NC 27710
Phone: 919-681-0708    
Dr. Krystal Brown Johnson, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: Duke University Medical Center, Dept. Of Pathology Box 3712, Durham, NC 27710
Phone: 919-684-3858    
Patrick Buckley, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: Duke University Medical Ctr, Durham, NC 27710
Phone: 919-620-4467    
Maria A Selim, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: Erwin Rd, Durham, NC 27710
Phone: 919-684-8111    

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.