Dr Brea Shay Prindaville, MD in Providence, RI

Dr Brea Shay Prindaville, MD is a medicare enrolled "Dermatology - Pediatric Dermatology" physician in Providence, Rhode Island. Her current practice location is 148 W River St Ste 1b, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 273-9310.

Dr Brea Shay Prindaville is licensed to practice in Rhode Island (license number MD15774) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912134529.

Contact Information

	Dr Brea Shay Prindaville, MD
	148 W River St Ste 1b, Providence, RI 02904
	(401) 273-9310
	(401) 273-1270

Map and Direction

Physician's Profile

Full Name	Dr Brea Shay Prindaville
Gender	Female
Speciality	Dermatology - Pediatric Dermatology
Location	148 W River St Ste 1b, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912134529
Provider Enumeration Date: 06/22/2009
Last Update Date: 02/27/2024

Medicare PECOS Information:

PECOS PAC ID: 7113169327
Enrollment ID: I20170719002022

Medical Identifiers

Medical identifiers for Dr Brea Shay Prindaville such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912134529	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207NP0225X	Dermatology - Pediatric Dermatology	15774 (Rhode Island)	Secondary
208000000X	Pediatrics	15774 (Rhode Island)	Secondary
207NP0225X	Dermatology - Pediatric Dermatology	MD15774 (Rhode Island)	Primary
207N00000X	Dermatology	15774 (Rhode Island)	Secondary
207N00000X	Dermatology	265523 (Massachusetts)	Secondary

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 Brea Shay Prindaville allows following entities to bill medicare on her behalf.

Entity Name	Dermatology Professionals Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902040835 PECOS PAC ID: 9234283953 Enrollment ID: O20090814000486

Entity Name	Brown Dermatology Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730538026 PECOS PAC ID: 3870872773 Enrollment ID: O20161117000508

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 Brea Shay Prindaville 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
Dr Brea Shay Prindaville, MD 526 Main St Ste 302, Acton, MA 01720-3301 Ph: (978) 371-7010	Dr Brea Shay Prindaville, MD 148 W River St Ste 1b, Providence, RI 02904 Ph: (401) 273-9310

Reviews and Comments

Dermatology Doctors in Providence, RI

Pooya Jahanshahi, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-7139
Antonio P. Cruz, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 1287 N Main St, Providence, RI 02904 Phone: 401-272-2724 Fax: 401-272-2784
Dr. Scott Hammerman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 Maude St Fl 1, Department Of Dermatology And Skin Surgery, Providence, RI 02908 Phone: 401-456-2315 Fax: 410-456-6449
Dr. Raymond Henry Welch, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 845 N Main St, Suite 3, Providence, RI 02904 Phone: 401-521-7300 Fax: 401-521-7307
Helena Marie Kuhn, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Apc 10, Providence, RI 02903 Phone: 401-444-7959 Fax: 401-444-7144
Dr. Shoshana Landow, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy Street,, Apc-10, Providence, RI 02903 Phone: 401-444-7959 Fax: 401-444-7144
Laura Della Torre, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1539 Atwood Ave Ste 301, Providence, RI 02919 Phone: 401-490-4515 Fax: 401-490-4516

Dr Brea Shay Prindaville, MD - Medicare Dermatology in Providence, RI