Dr Edward J Gauthier, MD - Medicare Internal Medicine in North Providence, RI

Dr Edward J Gauthier, MD is a medicare enrolled "Internal Medicine" physician in North Providence, Rhode Island. His current practice location is 1332 Smith St, North Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 273-5277.

Dr Edward J Gauthier is licensed to practice in Rhode Island (license number 3421) 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 1750475992.

Contact Information

Dr Edward J Gauthier, MD
1332 Smith St,
North Providence, RI 02911-3303
(401) 273-5277
(401) 751-2980

Map and Direction




Physician's Profile

Full NameDr Edward J Gauthier
GenderMale
SpecialityInternal Medicine
Location1332 Smith St, North 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: 1750475992
  • Provider Enumeration Date: 10/03/2006
  • Last Update Date: 05/16/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 9537156070
  • Enrollment ID: I20040427001617

Medical Identifiers

Medical identifiers for Dr Edward J Gauthier such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750475992NPI-NPPES
64950RIHOtherPILGRIM
7018OtherRIBLUE CROSS/ BLUE SHIELD
3421OtherRILICENSE
000856OtherRIBC/BS BLUECHIP
9000701MedicaidRI
0400505OtherUNITED HEALTH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 3421 (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. Dr Edward J Gauthier allows following entities to bill medicare on his behalf.
Entity NameProspect Chartercare Sjhsri Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588089759
PECOS PAC ID: 7315179314
Enrollment ID: O20140722001928
Entity NameProspect Chartercare Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629493135
PECOS PAC ID: 0840416657
Enrollment ID: O20140730001883

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 Edward J Gauthier 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
Dr Edward J Gauthier, MD
Po Box 8879,
Cranston, RI 02920-0879

Ph: (401) 572-3120
Dr Edward J Gauthier, MD
1332 Smith St,
North Providence, RI 02911-3303

Ph: (401) 273-5277

Reviews and Comments


Internal Medicine Doctors in North Providence, RI

Joseph A Farina, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 185a High Service Ave, North Providence, RI 02904
Phone: 401-354-6050    Fax: 401-354-6052
Mayumi Shoi Parker, NP
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1637 Mineral Spring Ave Ste 107, North Providence, RI 02904
Phone: 401-354-4400    
Naftali Sabo, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 214 High Service Avenue, North Providence, RI 02904
Phone: 401-353-7370    Fax: 401-353-4385
Dr. Denis E Moonan Jr., M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1515 Smith St, Suite N, North Providence, RI 02911
Phone: 401-353-0555    Fax: 401-353-7079
Dr. Javid A Calcatti, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1635 Mineral Spring Ave Ste 203, Suite 305, North Providence, RI 02904
Phone: 401-438-1011    
Michael M Palatucci, PAC
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1637 Mineral Spring Ave, Suite 215, North Providence, RI 02904
Phone: 401-353-7330    Fax: 401-354-4760
Dr. Angelo B Pharmakidis, M.D.,PH.D
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1637 Mineral Spring Ave, Suite 215, North Providence, RI 02904
Phone: 401-353-7330    Fax: 401-354-4760

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.