Karen E Macdonald, LCSW - Medicare Clinical Social Worker in Charlestown, RI

Karen E Macdonald, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Charlestown, Rhode Island. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Gateway Healthcare Inc and her current practice location is 4705 Old Post Rd Unit A, Charlestown, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 364-7705.

Karen E Macdonald is licensed to practice in Rhode Island (license number CSW00265) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700948080.

Contact Information

Karen E Macdonald, LCSW
4705 Old Post Rd Unit A,
Charlestown, RI 02813-1842
(401) 364-7705
(401) 364-3310

Map and Direction




Healthcare Provider's Profile

Full NameKaren E Macdonald
GenderFemale
SpecialityClinical Social Worker
Experience28 Years
Location4705 Old Post Rd Unit A, Charlestown, Rhode Island
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Karen E Macdonald graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1700948080
  • Provider Enumeration Date: 12/14/2006
  • Last Update Date: 04/22/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6103060157
  • Enrollment ID: I20130913000360

Medical Identifiers

Medical identifiers for Karen E Macdonald such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700948080NPI-NPPES
003401501OtherRIMEDICARE PTAN
1700948080OtherRIBLUE CROSS BLUE SHIELD
KM33742-1700940080MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical CSW00265 (Rhode Island)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gateway Healthcare Inc771987490824

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. Karen E Macdonald allows following entities to bill medicare on her behalf.
Entity NameGateway Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821078932
PECOS PAC ID: 7719874908
Enrollment ID: O20040302001066

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. Karen E Macdonald 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
Karen E Macdonald, LCSW
Po Box 899,
Charlestown, RI 02813-0899

Ph: (401) 364-7705
Karen E Macdonald, LCSW
4705 Old Post Rd Unit A,
Charlestown, RI 02813-1842

Ph: (401) 364-7705

Reviews and Comments


Social Worker in Charlestown, RI

Ms. Jacqueline M Robshaw, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4705a Old Post Rd, Charlestown, RI 02813
Phone: 401-364-7705    Fax: 401-364-9104
Michael Cole Pendergast, MSW, LICSW, ACSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 4705a Old Post Rd, Charlestown, RI 02813
Phone: 401-364-7705    
Alexis T Schonrog, LICSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 45b Buckeye Brook Rd, Charlestown, RI 02813
Phone: 401-741-8206    Fax: 866-387-6480
Rebecca Gessow, LICSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 4705a Old Post Rd, Charlestown, RI 02813
Phone: 401-364-7705    Fax: 401-364-9104
Mr. Joseph T Wilkinson, LICSW
Clinical Social Worker
Medicare: May Accept Medicare Assignments
Practice Location: 3949 Old Post Rd, Charlestown, RI 02813
Phone: 401-862-7254    
Nathaniel Mazza,
Clinical Social Worker
Medicare: May Accept Medicare Assignments
Practice Location: 4705 Old Post Rd Unit A, Charlestown, RI 02813
Phone: 401-346-7705    
Craig Warren Gaspard, LICSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 51 Old Mill Rd, Charlestown, RI 02813
Phone: 401-364-1263    Fax: 401-364-5220

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.