Charles H Cummings, DO - Medicare Family Practice in Fall River, MA

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Charles H Cummings, DO is a medicare enrolled "Family Medicine" physician in Fall River, Massachusetts. He graduated from medical school in 1987 and has 39 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Prima Care, Pc, Prima Care, Pc and his current practice location is 1010 S Main St, Fall River, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 235-5290.

Charles H Cummings is licensed to practice in Massachusetts (license number 72651) 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 1407811615.

Contact Information

Charles H Cummings, DO
1010 S Main St,
Fall River, MA 02724-2820
(508) 235-5290
Not Available

Map and Direction




Physician's Profile

Full NameCharles H Cummings
GenderMale
SpecialityFamily Practice
Experience39 Years
Location1010 S Main St, Fall River, Massachusetts
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:
  • Charles H Cummings graduated from medical school in 1987
  NPI Data:
  • NPI Number: 1407811615
  • Provider Enumeration Date: 04/19/2006
  • Last Update Date: 05/14/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 5991600488
  • Enrollment ID: I20031208000174

Medical Identifiers

Medical identifiers for Charles H Cummings such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407811615NPI-NPPES
3068536MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 72651 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southcoast Visiting Nurse Association IncFairhaven, MAHome health agency
Saint Anne's HospitalFall river, MAHospital
Southcoast Hospitals GroupFall river, MAHospital
Newport HospitalNewport, RIHospital
The Miriam HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prima Care, Pc2567356017202
Prima Care, Pc2567356017202

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. Charles H Cummings allows following entities to bill medicare on his behalf.
Entity NamePrima Care, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265422596
PECOS PAC ID: 2567356017
Enrollment ID: O20040214000027
Entity NameHealthfirst Family Care Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962435933
PECOS PAC ID: 0042120297
Enrollment ID: O20050520000255
Entity NameSteward Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629398219
PECOS PAC ID: 2860688728
Enrollment ID: O20101119000007
Entity NameSteward Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629398219
PECOS PAC ID: 2860688728
Enrollment ID: O20101119000332
Entity NameSteward St. Annes Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932411493
PECOS PAC ID: 3678760493
Enrollment ID: O20101206001124

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. Charles H Cummings 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
Charles H Cummings, DO
1010 S Main St,
Fall River, MA 02724-2820

Ph: (508) 235-5290		Charles H Cummings, DO
1010 S Main St,
Fall River, MA 02724-2820

Ph: (508) 235-5290

Reviews and Comments


Family Medicine Doctors in Fall River, MA

Prajeena Mainali, D.O.
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Phone: 502-235-5445    Fax: 508-235-5594
Dr. Joey A. Tryon, D.O.
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Simon Melnick, DO
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Dr. Henry R Vaillancourt, MD
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Felicia A. Barreto, MD
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Practice Location: 1030 President Ave, Ste 1004, Fall River, MA 02720
Phone: 508-973-9600    Fax: 508-973-9605
Dr. Catherine Schomer, MD
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Practice Location: 386 Stanley St, Fall River, MA 02720
Phone: 508-675-1054    Fax: 508-324-7777
Dr. Naron I Keo, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 277 Pleasant St, Fall River, MA 02721
Phone: 508-676-3292    Fax: 607-369-2276

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.