Janet R Encarnacion, MD - Medicare Family Practice in Providence, RI

Janet R Encarnacion, MD is a medicare enrolled "Family Medicine" physician in Providence, Rhode Island. She went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice The Providence Community Health Centers Inc., The Providence Community Health Centers Inc. and her current practice location is 530 N Main St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 415-9500.

Janet R Encarnacion is licensed to practice in Rhode Island (license number MD17774) 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 1144244963.

Contact Information

Janet R Encarnacion, MD
530 N Main St,
Providence, RI 02904-5762
(401) 415-9500
(401) 415-9515

Map and Direction




Physician's Profile

Full NameJanet R Encarnacion
GenderFemale
SpecialityFamily Practice
Experience27 Years
Location530 N Main St, Providence, 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:
  • Janet R Encarnacion attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 1997
  NPI Data:
  • NPI Number: 1144244963
  • Provider Enumeration Date: 07/26/2006
  • Last Update Date: 01/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3476554288
  • Enrollment ID: I20070122000553

Medical Identifiers

Medical identifiers for Janet R Encarnacion such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144244963NPI-NPPES
208933003MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD112761 (Missouri)Secondary
207Q00000XFamily Medicine MD17774 (Rhode Island)Primary
207Q00000XFamily Medicine 230283 (Massachusetts)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Providence Community Health Centers Inc.933505096288
The Providence Community Health Centers Inc.933505096288

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. Janet R Encarnacion allows following entities to bill medicare on her behalf.
Entity NamePatriot Urgent Care Professionals Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417205105
PECOS PAC ID: 8820248784
Enrollment ID: O20121030000548

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. Janet R Encarnacion 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
Janet R Encarnacion, MD
375 Allens Ave,
Providence, RI 02905-5010

Ph: (401) 780-2511
Janet R Encarnacion, MD
530 N Main St,
Providence, RI 02904-5762

Ph: (401) 415-9500

Reviews and Comments


Family Medicine Doctors in Providence, RI

Soraya S. P. Darwood, MD
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Medicare: Medicare Enrolled
Practice Location: 355 Prairie Ave, Providence, RI 02905
Phone: 401-444-0570    Fax: 401-444-0427
Scott Jusseaume, M.D.
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Medicare: Medicare Enrolled
Practice Location: 450 Brook St, Providence, RI 02906
Phone: 401-863-3953    Fax: 401-863-7953
Martin M. Miner, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 164 Summit Ave, Fain Blding, Providence, RI 02906
Phone: 401-793-4636    Fax: 401-793-4639
Sheldon D. E. Malcolm, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 355 Prairie Ave, Providence, RI 02905
Phone: 401-444-0570    Fax: 401-444-0427
Dr. Stephanie Barak, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-453-7655    
Chhavi Karir, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 355 Prairie Ave, Providence, RI 02905
Phone: 401-444-0570    Fax: 401-444-0427

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.