Dr James Edward Crounse, MD - Medicare Family Practice in Loma Linda, CA

Dr James Edward Crounse, MD is a medicare enrolled "Family Medicine" physician in Loma Linda, California. He went to Loma Linda University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sac Health System and his current practice location is 25455 Barton Rd, Suite 204b, Loma Linda, California. You can reach out to his office (for appointments etc.) via phone at (909) 558-6600.

Dr James Edward Crounse is licensed to practice in California (license number A104852) 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 1982897237.

Contact Information

Dr James Edward Crounse, MD
25455 Barton Rd, Suite 204b,
Loma Linda, CA 92354-3128
(909) 558-6600
Not Available

Map and Direction




Physician's Profile

Full NameDr James Edward Crounse
GenderMale
SpecialityFamily Practice
Experience17 Years
Location25455 Barton Rd, Loma Linda, California
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 Edward Crounse attended and graduated from Loma Linda University School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1982897237
  • Provider Enumeration Date: 08/21/2007
  • Last Update Date: 12/06/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4981870037
  • Enrollment ID: I20111220000816

Medical Identifiers

Medical identifiers for Dr James Edward Crounse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982897237NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083P0901XPreventive Medicine - Public Health & General Preventive Medicine A104852 (California)Secondary
207Q00000XFamily Medicine A104852 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sac Health System4385533579159

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 Edward Crounse allows following entities to bill medicare on his behalf.
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981
Entity NameSac Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013935923
PECOS PAC ID: 4385533579
Enrollment ID: O20040315000608

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 Edward Crounse 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 Edward Crounse, MD
25455 Barton Rd, Suite 204b,
Loma Linda, CA 92354-3128

Ph: (909) 558-6600
Dr James Edward Crounse, MD
25455 Barton Rd, Suite 204b,
Loma Linda, CA 92354-3128

Ph: (909) 558-6600

Reviews and Comments


Family Medicine Doctors in Loma Linda, CA

Ecler Ercole Jaqua, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 25455 Barton Rd Ste 204b, Loma Linda, CA 92354
Phone: 909-558-6600    
Mark S Sutton, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 25455 Barton Rd, Suite 204b, Loma Linda, CA 92354
Phone: 909-558-6600    
Lauren Simon, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 25455 Barton Rd, Suite 204b, Loma Linda, CA 92354
Phone: 909-558-6600    
Barbara Orr, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 25455 Barton Rd, Ste 204b, Loma Linda, CA 92354
Phone: 909-558-6600    
Victoria V Teppone, FNP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 25455 Barton Rd, Loma Linda, CA 92354
Phone: 909-558-6600    
Dr. Prashanth Gowda, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: Va Loma Linda Health Care System, 11201 Benton St, Loma Linda, CA 92357
Phone: 909-825-7084    
Dr. Roger D. Woodruff, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 25455 Barton Rd Ste 206a, Loma Linda, CA 92354
Phone: 909-558-6505    Fax: 909-558-6701

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.