James Thomas Sutton, MD - Medicare Surgery in Ormond Beach, FL

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James Thomas Sutton, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Ormond Beach, Florida. His current practice location is 588 Sterthaus Dr, Ormond Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 672-9503.

James Thomas Sutton is licensed to practice in Florida (license number ME0044108) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043215635.

Contact Information

James Thomas Sutton, MD
588 Sterthaus Dr,
Ormond Beach, FL 32174-5128
(386) 672-9503
(386) 672-0386

Map and Direction




Physician's Profile

Full NameJames Thomas Sutton
GenderMale
SpecialitySurgery - Vascular Surgery
Location588 Sterthaus Dr, Ormond Beach, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043215635
  • Provider Enumeration Date: 06/20/2005
  • Last Update Date: 08/05/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6002877925
  • Enrollment ID: I20041025000321

Medical Identifiers

Medical identifiers for James Thomas Sutton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043215635NPI-NPPES
D57714OtherUPIN
64518OtherFLBSBSFL
004179OtherFLFHCP
GT215AOtherMEDICARE-CMS
DT5266OtherRR MEDICARE GROUP
020007754OtherRR MEDICARE INDIVIDUAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery ME0044108 (Florida)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. James Thomas Sutton allows following entities to bill medicare on his behalf.
Entity NameHalifax Healthcare Systems Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245283530
PECOS PAC ID: 1254238090
Enrollment ID: O20031218000443
Entity NameJames T Sutton Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093069395
PECOS PAC ID: 3173775707
Enrollment ID: O20121206000258
Entity NameFlorida Hospital Healthcare Partners, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780100529
PECOS PAC ID: 7012266836
Enrollment ID: O20180831000335

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 Thomas Sutton 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 Thomas Sutton, MD
588 Sterthaus Dr,
Ormond Beach, FL 32174-5128

Ph: (386) 672-9503		James Thomas Sutton, MD
588 Sterthaus Dr,
Ormond Beach, FL 32174-5128

Ph: (386) 672-9503

Reviews and Comments


Surgery Doctors in Ormond Beach, FL

John Blake Holt, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 1240 W Granada Blvd Fl 2, Ormond Beach, FL 32174
Phone: 386-672-9503    Fax: 386-672-0386
Mark Aaron Heimberger, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174
Phone: 386-231-6500    Fax: 386-231-6541

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.