Dr Philip C James, MD - Medicare Pediatrics in Saratoga Springs, NY

Dr Philip C James, MD is a medicare enrolled "Pediatrics" physician in Saratoga Springs, New York. His current practice location is 4 Carpenter Lane, Saratoga Springs, New York. You can reach out to his office (for appointments etc.) via phone at (518) 587-3823.

Dr Philip C James is licensed to practice in New York (license number 219307) 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 1821021775.

Contact Information

Dr Philip C James, MD
4 Carpenter Lane,
Saratoga Springs, NY 12866
(518) 587-3823
(518) 587-6677

Map and Direction




Physician's Profile

Full NameDr Philip C James
GenderMale
SpecialityPediatrics
Location4 Carpenter Lane, Saratoga Springs, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821021775
  • Provider Enumeration Date: 07/07/2006
  • Last Update Date: 11/26/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5698005015
  • Enrollment ID: I20190927002372

Medical Identifiers

Medical identifiers for Dr Philip C James such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821021775NPI-NPPES
10050383OtherNYCDPHP
26952OtherNYMVP HEALTH PLAN
02099989MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 219307 (New York)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. Dr Philip C James allows following entities to bill medicare on his behalf.
Entity NameSt. Mary's Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518926401
PECOS PAC ID: 7618960709
Enrollment ID: O20040405001628

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 Philip C James 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 Philip C James, MD
Po Box 141, 154 Warren Street,
Glens Falls, NY 12801

Ph: (518) 798-9985
Dr Philip C James, MD
4 Carpenter Lane,
Saratoga Springs, NY 12866

Ph: (518) 587-3823

Reviews and Comments


Pediatrics Doctors in Saratoga Springs, NY

Dr. Cecilia P. Ruelos, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 381 Church Street, Second Floor, Saratoga Springs, NY 12866
Phone: 518-306-5292    Fax: 518-306-5292
Dr. Alex Gregory Villanueva, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4 Carpenter Ln, Saratoga Springs, NY 12866
Phone: 518-587-3823    
Mrs. Stephanie A Messercola, RPA-C
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4 Carpenter Lane, Saratoga Springs, NY 12866
Phone: 518-857-3853    Fax: 518-587-6677
Sudha Singh, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 30 Gick Rd, Saratoga Springs, NY 12866
Phone: 518-871-1885    Fax: 518-871-1886

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.