Dr Gina Gerardine La Prova, MD - Medicare Family Practice in Cumberland, RI

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Dr Gina Gerardine La Prova, MD is a medicare enrolled "Family Medicine" physician in Cumberland, Rhode Island. She went to Warren Alpert Medical School Of Brown University and graduated in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Affinity Physicians Llc. and her current practice location is 2140 Mendon Rd, Cumberland, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 642-2072.

Dr Gina Gerardine La Prova is licensed to practice in Rhode Island (license number MD10894) 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 1184690299.

Contact Information

Dr Gina Gerardine La Prova, MD
2140 Mendon Rd,
Cumberland, RI 02864-3843
(401) 642-2072
(401) 305-3958

Map and Direction




Physician's Profile

Full NameDr Gina Gerardine La Prova
GenderFemale
SpecialityFamily Practice
Experience26 Years
Location2140 Mendon Rd, Cumberland, 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:
  • Dr Gina Gerardine La Prova attended and graduated from Warren Alpert Medical School Of Brown University in 1998
  NPI Data:
  • NPI Number: 1184690299
  • Provider Enumeration Date: 02/28/2006
  • Last Update Date: 03/24/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5799856241
  • Enrollment ID: I20080611000547

Medical Identifiers

Medical identifiers for Dr Gina Gerardine La Prova such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184690299NPI-NPPES
92588701OtherNETWORK HEALTH
21435-7OtherRIBCBS OF RHODE ISLAND
AA309012OtherHARVARD PILGRIM
110083759AMedicaidMA
1184690299OtherNEIGHBORHOOD HEALTH PLAN
042297845OtherTRICARE
042297845OtherUNITED HEALTH CARE
042297845OtherHCVM
1184690299OtherFALLON
7981290OtherAETNA
010894OtherTUFTS AND TUFTS MED PREFERRED
042297845OtherGIC/UNICARE
J46491OtherMABCBSMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 224304 (Massachusetts)Secondary
207Q00000XFamily Medicine MD10894 (Rhode Island)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Affinity Physicians Llc.0244413391619

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 Gina Gerardine La Prova allows following entities to bill medicare on her behalf.
Entity NameAffinity Physicians Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184944662
PECOS PAC ID: 0244413391
Enrollment ID: O20110326000053
Entity NameCarewell Urgent Care Of Rhode Island Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376891416
PECOS PAC ID: 5799937470
Enrollment ID: O20121203000300
Entity NameOcean State Urgent Care Center Of Cumberland Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275971400
PECOS PAC ID: 0941442495
Enrollment ID: O20130813000010
Entity NameAgape Medical Spa Of Warwick Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548685985
PECOS PAC ID: 1850519372
Enrollment ID: O20140826000211

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 Gina Gerardine La Prova 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 Gina Gerardine La Prova, MD
2140 Mendon Rd,
Cumberland, RI 02864-3843

Ph: (401) 642-2072		Dr Gina Gerardine La Prova, MD
2140 Mendon Rd,
Cumberland, RI 02864-3843

Ph: (401) 642-2072

Reviews and Comments


Family Medicine Doctors in Cumberland, RI

Donn R Quinn, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2130 Mendon Rd, Suite 3-333, Cumberland, RI 02864
Phone: 401-235-7310    Fax: 401-235-7314
Dr. Jennifer Souther, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 30 Martin Street, Unit #30a, Cumberland, RI 02864
Phone: 401-334-4500    Fax: 401-312-0096
Amy J Starkenberg, NPP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2140 Mendon Rd, Ste 1, Cumberland, RI 02864
Phone: 401-475-3000    Fax: 401-475-0875
Dr. Cathy J. Schoorens, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 106 Nate Whipple Hwy, Cumberland, RI 02864
Phone: 401-658-2020    Fax: 401-658-3612

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.