James L Plotnik, MD - Medicare Ophthalmology in Phoenix, AZ

James L Plotnik, MD is a medicare enrolled "Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist" physician in Phoenix, Arizona. He went to University Of Michigan Medical School and graduated in 1989 and has 35 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Phoenix Children's Hospital and his current practice location is 1920 E Cambridge Ave Ste 203, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 933-3937.

James L Plotnik is licensed to practice in Arizona (license number 21532) 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 1013907716.

Contact Information

James L Plotnik, MD
1920 E Cambridge Ave Ste 203,
Phoenix, AZ 85006
(602) 933-3937
(602) 933-2409

Map and Direction




Physician's Profile

Full NameJames L Plotnik
GenderMale
SpecialityOphthalmology
Experience35 Years
Location1920 E Cambridge Ave Ste 203, Phoenix, Arizona
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 L Plotnik attended and graduated from University Of Michigan Medical School in 1989
  NPI Data:
  • NPI Number: 1013907716
  • Provider Enumeration Date: 10/24/2005
  • Last Update Date: 05/31/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6305824103
  • Enrollment ID: I20040723000775

Medical Identifiers

Medical identifiers for James L Plotnik such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013907716NPI-NPPES
465003MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207WX0110XOphthalmology - Pediatric Ophthalmology And Strabismus Specialist 21532 (Arizona)Primary
207W00000XOphthalmology 21532 (Arizona)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Phoenix Children's Hospital0446278584265

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 L Plotnik allows following entities to bill medicare on his behalf.
Entity NamePhoenix Children's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922112044
PECOS PAC ID: 0446278584
Enrollment ID: O20051107000704

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 L Plotnik 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 L Plotnik, MD
3200 E Camelback Rd Ste 250,
Phoenix, AZ 85018-2327

Ph: (602) 933-1814
James L Plotnik, MD
1920 E Cambridge Ave Ste 203,
Phoenix, AZ 85006

Ph: (602) 933-3937

Reviews and Comments


Ophthalmology Doctors in Phoenix, AZ

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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).

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.