Douglas C Anthony, MD - Medicare Pathology in Providence, RI

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Douglas C Anthony, MD is a medicare enrolled "Pathology - Anatomic Pathology" physician in Providence, Rhode Island. His current practice location is 593 Eddy St, Apc Building, 12-106, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 444-5011.

Douglas C Anthony is licensed to practice in Rhode Island (license number MD13805) 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 1558308270.

Contact Information

Douglas C Anthony, MD
593 Eddy St, Apc Building, 12-106,
Providence, RI 02903-4923
(401) 444-5011
(401) 444-8514

Map and Direction




Physician's Profile

Full NameDouglas C Anthony
GenderMale
SpecialityPathology - Anatomic Pathology
Location593 Eddy St, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558308270
  • Provider Enumeration Date: 06/01/2006
  • Last Update Date: 11/19/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2365480530
  • Enrollment ID: I20120328000608

Medical Identifiers

Medical identifiers for Douglas C Anthony such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558308270NPI-NPPES
127403OtherMOBLUE CHOICE
002577701OtherRIMEDICARE
127403OtherMOBLUE SHIELD
205733702MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 2002000486 (Missouri)Secondary
207ZN0500XPathology - Neuropathology 2002000486 (Missouri)Secondary
207ZP0101XPathology - Anatomic Pathology 2002000486 (Missouri)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology MD13805 (Rhode Island)Secondary
207ZP0101XPathology - Anatomic Pathology MD13805 (Rhode Island)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. Douglas C Anthony allows following entities to bill medicare on his behalf.
Entity NameNewport Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063632180
PECOS PAC ID: 0042111437
Enrollment ID: O20040422000696
Entity NameRhode Island Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154537520
PECOS PAC ID: 8921900044
Enrollment ID: O20141017000105
Entity NameThe Miriam Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598978744
PECOS PAC ID: 6901796408
Enrollment ID: O20170303000645

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. Douglas C Anthony 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
Douglas C Anthony, MD
593 Eddy St, Apc Building, 12-106,
Providence, RI 02903-4923

Ph: (401) 444-5011		Douglas C Anthony, MD
593 Eddy St, Apc Building, 12-106,
Providence, RI 02903-4923

Ph: (401) 444-5011

Reviews and Comments


Pathology Doctors in Providence, RI

Dr. Ga Hie Nam, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5057    Fax: 401-444-8514
N Peter Libbey, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 825 Chalkstone Ave, Roger Williams Medical Center/pathology Dept., Providence, RI 02908
Phone: 401-456-2162    Fax: 401-456-2131
Sara Maleki, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Apc 12, Providence, RI 02903
Phone: 401-444-8515    Fax: 401-444-8514
Mirfrida Geller, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-8450    Fax: 401-444-5088
Dr. Lisa Goldstein, M.D.
Pathology
Medicare: Medicare Enrolled
Practice Location: 164 Summit Ave, Department Of Pathology, Providence, RI 02906
Phone: 401-793-4246    Fax: 401-274-5154
Dr. Gladys Telang, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Apc 10, Providence, RI 02903
Phone: 401-444-7959    Fax: 401-444-7144
Xin He, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-4923    

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.

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