Dr James J Mahoney Iii, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Charlottesville, Virginia. His current practice location is
1300 Jefferson Park Ave, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at
(434) 924-2718.
Dr James J Mahoney Iii is licensed to practice in Virginia (license number 0810005380) 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 1245686468.
Healthcare Provider's Profile
| Full Name | Dr James J Mahoney Iii |
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| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 1300 Jefferson Park Ave, Charlottesville, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245686468
- Provider Enumeration Date: 05/06/2016
- Last Update Date: 07/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 0345529723
- Enrollment ID: I20161108002025
Medical Identifiers
Medical identifiers for Dr James J Mahoney Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245686468 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | 1146 (West Virginia) | Secondary |
| 103TC0700X | Psychologist - Clinical | 0810005380 (Virginia) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 0810005380 (Virginia) | 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 James J Mahoney Iii allows following entities to bill medicare on his behalf.
| Entity Name | West Virginia University Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275504508
PECOS PAC ID: 1052224565
Enrollment ID: O20031111000207 |
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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 James J Mahoney Iii 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 Address | Practice Location Address |
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Dr James J Mahoney Iii, PHD
Po Box 749112,
Atlanta, GA 30374-9112
Ph: (434) 295-1000 | Dr James J Mahoney Iii, PHD
1300 Jefferson Park Ave,
Charlottesville, VA 22903-3363
Ph: (434) 924-2718 |
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