Dr James Raymond Hereth, MD - Medicare Internal Medicine in Buffalo, NY

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Dr James Raymond Hereth, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Buffalo, New York. He went to State University Of New York At Buffalo School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Kaleida Health and his current practice location is 818 Ellicott St, Buffalo, New York. You can reach out to his office (for appointments etc.) via phone at (716) 323-0200.

Dr James Raymond Hereth is licensed to practice in New York (license number 247895) 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 1912161530.

Contact Information

Dr James Raymond Hereth, MD
818 Ellicott St,
Buffalo, NY 14203-1021
(716) 323-0200
(716) 323-0293

Map and Direction




Physician's Profile

Full NameDr James Raymond Hereth
GenderMale
SpecialityInternal Medicine
Experience20 Years
Location818 Ellicott St, Buffalo, New York
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 Raymond Hereth attended and graduated from State University Of New York At Buffalo School Of Medicine in 2004
  NPI Data:
  • NPI Number: 1912161530
  • Provider Enumeration Date: 07/13/2008
  • Last Update Date: 01/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6507917341
  • Enrollment ID: I20090708000011

Medical Identifiers

Medical identifiers for Dr James Raymond Hereth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912161530NPI-NPPES
03103335MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0203XPediatrics - Pediatric Critical Care Medicine 247895 (New York)Primary
207R00000XInternal Medicine 247895 (New York)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kaleida HealthBuffalo, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaleida Health7810805280173

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 Raymond Hereth allows following entities to bill medicare on his behalf.
Entity NameKaleida Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366473183
PECOS PAC ID: 7810805280
Enrollment ID: O20031105000212
Entity NameSisters Of Charity Hospital Of Buffalo New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790727543
PECOS PAC ID: 6204749153
Enrollment ID: O20031126000557
Entity NameUniversity At Buffalo Pediatric Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912928599
PECOS PAC ID: 1355235540
Enrollment ID: O20040210000076
Entity NameKenmore Mercy Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770598104
PECOS PAC ID: 7517870462
Enrollment ID: O20040319000138
Entity NameMount St. Marys Hospital Of Niagara Falls
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043394745
PECOS PAC ID: 4082523790
Enrollment ID: O20040403000031
Entity NameMercy Hospital Of Buffalo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164464921
PECOS PAC ID: 8729991666
Enrollment ID: O20040702001253

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 Raymond Hereth 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 Raymond Hereth, MD
1001 Main St Fl 4,
Buffalo, NY 14203-1009

Ph: (716) 323-0200		Dr James Raymond Hereth, MD
818 Ellicott St,
Buffalo, NY 14203-1021

Ph: (716) 323-0200

Reviews and Comments


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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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