James F Sexton, MD - Medicare Internal Medicine in Syracuse, NY

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James F Sexton, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Syracuse, New York. He went to Medical College Of Ohio and graduated in 1989 and has 37 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Physician Care Pc, Canton-potsdam Hospital, Dkt Physician Pllc and his current practice location is 90 Presidential Plz, Firm C, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 464-3835.

James F Sexton is licensed to practice in New York (license number 212277) 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 1760416879.

Contact Information

James F Sexton, MD
90 Presidential Plz, Firm C,
Syracuse, NY 13202-2240
(315) 464-3835
(315) 464-3837

Map and Direction




Physician's Profile

Full NameJames F Sexton
GenderMale
SpecialityInternal Medicine
Experience37 Years
Location90 Presidential Plz, Syracuse, 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:
  • James F Sexton attended and graduated from Medical College Of Ohio in 1989
  NPI Data:
  • NPI Number: 1760416879
  • Provider Enumeration Date: 07/11/2006
  • Last Update Date: 10/20/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 8921088832
  • Enrollment ID: I20040721001630

Medical Identifiers

Medical identifiers for James F Sexton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760416879NPI-NPPES
01876526MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 212277 (New York)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 212277 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Canton-potsdam HospitalPotsdam, NYHospital
Oswego HospitalOswego, NYHospital
Slhs Massena, IncMassena, NYHospital
Adirondack Medical Center - Saranac LakeSaranac lake, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physician Care Pc903236745374
Canton-potsdam Hospital6204827280243
Dkt Physician Pllc43850744675

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 F Sexton allows following entities to bill medicare on his behalf.
Entity NameDepartment of Medicine Medical Serv Grp at Suny Hlth Sci Ctr Syr in
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063468239
PECOS PAC ID: 3274445796
Enrollment ID: O20031104000051
Entity NameNicholas H Noyes Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982625661
PECOS PAC ID: 3072505536
Enrollment ID: O20040402000492
Entity NameCanton-potsdam Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568548782
PECOS PAC ID: 6204827280
Enrollment ID: O20040519000761
Entity NameUpstate Community Medical, PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689620163
PECOS PAC ID: 0143238782
Enrollment ID: O20060323000644
Entity NamePhysician Care PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073868113
PECOS PAC ID: 9032367453
Enrollment ID: O20120910000593
Entity NameDkt Physician PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902430499
PECOS PAC ID: 4385074467
Enrollment ID: O20200414002680

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 F Sexton 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 F Sexton, MD
90 Presidential Plz, Firm C,
Syracuse, NY 13202-2240

Ph: (315) 464-3835		James F Sexton, MD
90 Presidential Plz, Firm C,
Syracuse, NY 13202-2240

Ph: (315) 464-3835

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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