Dr Jared Sears Supple, MD - Medicare Emergency Medicine in Providence, RI

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Dr Jared Sears Supple, MD is a medicare enrolled "Emergency Medicine" physician in Providence, Rhode Island. He graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Lahey Clinic Inc and his current practice location is 593 Eddy St, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 444-4247.

Dr Jared Sears Supple is licensed to practice in Massachusetts (license number 291805) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477045078.

Contact Information

Dr Jared Sears Supple, MD
593 Eddy St,
Providence, RI 02903-4923
(401) 444-4247
Not Available

Map and Direction




Physician's Profile

Full NameDr Jared Sears Supple
GenderMale
SpecialityEmergency Medicine
Experience8 Years
Location593 Eddy St, Providence, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jared Sears Supple graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1477045078
  • Provider Enumeration Date: 05/31/2018
  • Last Update Date: 07/16/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2365797867
  • Enrollment ID: I20220629000034

Medical Identifiers

Medical identifiers for Dr Jared Sears Supple such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477045078NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine LP04287 (Rhode Island)Secondary
207P00000XEmergency Medicine 291805 (Massachusetts)Primary
207P00000XEmergency Medicine 39196 (New Hampshire)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lahey Hospital & Medical Center, BurlingtonBurlington, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lahey Clinic Inc22643365281381

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 Jared Sears Supple allows following entities to bill medicare on his behalf.
Entity NameLahey Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538194980
PECOS PAC ID: 2264336528
Enrollment ID: O20031120000097
Entity NameLahey Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063447316
PECOS PAC ID: 2264336528
Enrollment ID: O20040629001269

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 Jared Sears Supple 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 Jared Sears Supple, MD
55 Cromwell St Apt 303,
Providence, RI 02907-2567

Ph: Not Available		Dr Jared Sears Supple, MD
593 Eddy St,
Providence, RI 02903-4923

Ph: (401) 444-4247

Reviews and Comments


Emergency Medicine Doctors in Providence, RI

Dr. Robert A Partridge, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903
Phone: 401-519-1604    Fax: 401-272-0538
Dr. Gregory R Lockhart, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903
Phone: 401-444-4000    Fax: 401-427-7795
Ian M Jacobson, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 825 Chalkstone Ave, Providence, RI 02908
Phone: 330-493-4443    
Dr. Oriane Diana Longerstaey, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 164 Summit Ave, Providence, RI 02906
Phone: 704-355-3181    
Otto Liebmann, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903
Phone: 401-519-1604    Fax: 401-272-0538
Dr. Alexander Yiqing Sheng, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-4000    
Madalene Boyle,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 404-444-6489    

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).

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