Dr James J Whalen, MD - Medicare Psychiatry & Neurology in Lincoln, RI

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Dr James J Whalen, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Lincoln, Rhode Island. His current practice location is 6 Blackstone Valley Pl, Bldg 4, Suite 401, Lincoln, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 333-3435.

Dr James J Whalen is licensed to practice in Rhode Island (license number 8487) 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 1134245954.

Contact Information

Dr James J Whalen, MD
6 Blackstone Valley Pl, Bldg 4, Suite 401,
Lincoln, RI 02865-1179
(401) 333-3435
(401) 333-6434

Map and Direction




Physician's Profile

Full NameDr James J Whalen
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location6 Blackstone Valley Pl, Lincoln, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134245954
  • Provider Enumeration Date: 03/22/2007
  • Last Update Date: 12/15/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6507833936
  • Enrollment ID: I20040914001097

Medical Identifiers

Medical identifiers for Dr James J Whalen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134245954NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 8487 (Rhode Island)Primary
2084P0800XPsychiatry & Neurology - Psychiatry LT4233 (New Hampshire)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 James J Whalen allows following entities to bill medicare on his behalf.
Entity NameGateway Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821078932
PECOS PAC ID: 7719874908
Enrollment ID: O20040302001066
Entity NameNewport County Community Mental Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093713174
PECOS PAC ID: 9830089812
Enrollment ID: O20040316000531

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 James J Whalen 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 James J Whalen, MD
36 Regina Dr,
North Scituate, RI 02857-1080

Ph: (401) 647-0488		Dr James J Whalen, MD
6 Blackstone Valley Pl, Bldg 4, Suite 401,
Lincoln, RI 02865-1179

Ph: (401) 333-3435

Reviews and Comments


Psychiatry & Neurology Doctors in Lincoln, RI

Dr. Heather P Abrahams, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 132 Old River Rd, Suite 100, Lincoln, RI 02865
Phone: 401-333-2002    
Dr. Sarah Lilyanne Xavier, D.O.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 652 George Washington Hwy, Suite 400, Lincoln, RI 02865
Phone: 401-334-1830    Fax: 401-334-1833
Walter Dulany Fitzhugh Iii, M.D., M.P.H.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 8 Blackstone Valley Pl, Lincoln, RI 02865
Phone: 401-334-1830    Fax: 401-334-1833
Dr. Ginger L Manzo, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 2 Wake Robin Rd Unit 206, Lincoln, RI 02865
Phone: 401-475-7610    Fax: 401-475-2473

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.