Mr James Peter Koren, MD - Medicare General Surgery in Plymouth, NH

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Mr James Peter Koren, MD is a medicare enrolled "Surgery" physician in Plymouth, New Hampshire. He went to Ohio State University College Of Medicine and graduated in 1996 and has 30 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Speare Memorial Hospital and his current practice location is 16 Hospital Road, Speare Surgical Services, Plymouth, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 536-5670.

Mr James Peter Koren is licensed to practice in New Hampshire (license number 13971) 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 1952360430.

Contact Information

Mr James Peter Koren, MD
16 Hospital Road, Speare Surgical Services,
Plymouth, NH 03264
(603) 536-5670
(603) 536-1544

Map and Direction




Physician's Profile

Full NameMr James Peter Koren
GenderMale
SpecialityGeneral Surgery
Experience30 Years
Location16 Hospital Road, Plymouth, New Hampshire
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:
  • Mr James Peter Koren attended and graduated from Ohio State University College Of Medicine in 1996
  NPI Data:
  • NPI Number: 1952360430
  • Provider Enumeration Date: 03/22/2006
  • Last Update Date: 10/20/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7517913387
  • Enrollment ID: I20081229000162

Medical Identifiers

Medical identifiers for Mr James Peter Koren such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952360430NPI-NPPES
001950383MedicaidPA
AA126600OtherHARVARD PILGRIM
0591457OtherCIGNA
866601OtherPAMEDICARE GROUP #
1015430MedicaidVT
1952360430OtherUNITED HEALTHCARE
30208058MedicaidNH
3072796MedicaidNH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MD419656 (Pennsylvania)Secondary
208600000XSurgery 13971 (New Hampshire)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Speare Memorial HospitalPlymouth, NHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Speare Memorial Hospital115331806851

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. Mr James Peter Koren allows following entities to bill medicare on his behalf.
Entity NameSpeare Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346402047
PECOS PAC ID: 1153318068
Enrollment ID: O20040823001172
Entity NameSpeare Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235163585
PECOS PAC ID: 1153318068
Enrollment ID: O20060922000264
Entity NameSpeare Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093578197
PECOS PAC ID: 1153318068
Enrollment ID: O20240408000976

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. Mr James Peter Koren 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
Mr James Peter Koren, MD
P.o. Box 706,
Plymouth, NH 03264-0706

Ph: (603) 481-8757		Mr James Peter Koren, MD
16 Hospital Road, Speare Surgical Services,
Plymouth, NH 03264

Ph: (603) 536-5670

Reviews and Comments


Surgery Doctors in Plymouth, NH

Melissa Goczalk,
Surgery
Medicare: Medicare Enrolled
Practice Location: 16 Hospital Rd, Plymouth, NH 03264
Phone: 603-536-1120    

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.