Sheila Provencher Abdallah, MD - Medicare Family Practice in Worcester, MA

Sheila Provencher Abdallah, MD is a medicare enrolled "Family Medicine" physician in Worcester, Massachusetts. She went to Harvard Medical School and graduated in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Family Health Center Of Worcester, Inc., Reliant Medical Group Inc and her current practice location is 5 Neponset St, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 425-5566.

Sheila Provencher Abdallah is licensed to practice in Massachusetts (license number 262739) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1821356312.

Contact Information

Sheila Provencher Abdallah, MD
5 Neponset St,
Worcester, MA 01606-2714
(508) 425-5566
(508) 365-6590

Map and Direction




Physician's Profile

Full NameSheila Provencher Abdallah
GenderFemale
SpecialityFamily Practice
Experience12 Years
Location5 Neponset St, Worcester, Massachusetts
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sheila Provencher Abdallah attended and graduated from Harvard Medical School in 2012
  NPI Data:
  • NPI Number: 1821356312
  • Provider Enumeration Date: 05/02/2012
  • Last Update Date: 03/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1759513609
  • Enrollment ID: I20150821013221

Medical Identifiers

Medical identifiers for Sheila Provencher Abdallah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821356312NPI-NPPES
110102713AMedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 262739 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Harrington Memorial Hospital-1Southbridge, MAHospital
St Vincent HospitalWorcester, MAHospital
Baystate Medical CenterSpringfield, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Family Health Center Of Worcester, Inc.478967098568
Reliant Medical Group Inc5597755322543

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. Sheila Provencher Abdallah allows following entities to bill medicare on her behalf.
Entity NameFamily Health Center Of Worcester, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841200664
PECOS PAC ID: 4789670985
Enrollment ID: O20040422001380
Entity NameReliant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720017528
PECOS PAC ID: 5597755322
Enrollment ID: O20040708000650

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. Sheila Provencher Abdallah 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
Sheila Provencher Abdallah, MD
5 Neponset St,
Worcester, MA 01606-2714

Ph: (508) 425-5566
Sheila Provencher Abdallah, MD
5 Neponset St,
Worcester, MA 01606-2714

Ph: (508) 425-5566

Reviews and Comments


Family Medicine Doctors in Worcester, MA

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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.