Jon M Dooley, MD in Pawtucket, RI

Jon M Dooley, MD is a medicare enrolled "Pediatrics" physician in Pawtucket, Rhode Island. His current practice location is 1145 Main St, Pawtucket, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 722-0081.

Jon M Dooley is licensed to practice in Rhode Island (license number MD18262) 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 1619472339.

Contact Information

	Jon M Dooley, MD
	1145 Main St, Pawtucket, RI 02860-7825
	(401) 722-0081
	Not Available

Map and Direction

Physician's Profile

Full Name	Jon M Dooley
Gender	Male
Speciality	Pediatrics
Location	1145 Main St, Pawtucket, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619472339
Provider Enumeration Date: 03/26/2018
Last Update Date: 10/06/2025

Medicare PECOS Information:

PECOS PAC ID: 1951645472
Enrollment ID: I20220125000843

Medical Identifiers

Medical identifiers for Jon M Dooley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619472339	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD18262 (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. Jon M Dooley allows following entities to bill medicare on his behalf.

Entity Name	Blackstone Valley Community Health Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063574135 PECOS PAC ID: 8628045762 Enrollment ID: O20040916000775

Entity Name	Prospect Chartercare Sjhsri Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588089759 PECOS PAC ID: 7315179314 Enrollment ID: O20140722001928

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. Jon M Dooley 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 Address	Practice Location Address
Jon M Dooley, MD 1145 Main St, Pawtucket, RI 02860-7825 Ph: (401) 722-0081	Jon M Dooley, MD 1145 Main St, Pawtucket, RI 02860-7825 Ph: (401) 722-0081

Reviews and Comments

Pediatrics Doctors in Pawtucket, RI

Natalia Lukankina, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Brewster St, Pawtucket, RI 02860 Phone: 401-729-6200
Tanya Jean Becker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 126 Prospect St, Pawtucket, RI 02860 Phone: 401-728-9206 Fax: 401-722-6960
Viren Andrew D'sa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 555 Prospect St, Pawtucket, RI 02860 Phone: 401-729-6200 Fax: 401-729-6203
Esther J. Entin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 111 Brewster St, Department Of Pediatrics, Pawtucket, RI 02860 Phone: 401-729-6200 Fax: 401-729-6203
Kunjbala Sharma, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1145 Main St, Pawtucket, RI 02860 Phone: 401-722-0081 Fax: 401-312-0318
Carol L Baum-gupta, Pediatrics Medicare: Medicare Enrolled Practice Location: 555 Prospect Street, Pawtucket, RI 02860 Phone: 401-729-6200 Fax: 401-729-6203
Cameron Elizabeth Walker Lang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 39 East Ave, Pawtucket, RI 02860 Phone: 401-722-0081 Fax: 401-312-0318

Jon M Dooley, MD - Medicare Pediatrics in Pawtucket, RI