Loretta M Marion, DO - Medicare Pediatrics in Providence, RI

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Loretta M Marion, DO is a medicare enrolled "Pediatrics" physician in Providence, Rhode Island. Her current practice location is 355 Prairie Ave, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 444-0570.

Loretta M Marion is licensed to practice in Rhode Island (license number DO01075) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285690313.

Contact Information

Loretta M Marion, DO
355 Prairie Ave,
Providence, RI 02905-1928
(401) 444-0570
(401) 444-0427

Map and Direction




Physician's Profile

Full NameLoretta M Marion
GenderFemale
SpecialityPediatrics
Location355 Prairie Ave, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285690313
  • Provider Enumeration Date: 04/26/2006
  • Last Update Date: 12/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1254325046
  • Enrollment ID: I20040414000022

Medical Identifiers

Medical identifiers for Loretta M Marion such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285690313NPI-NPPES
001592004MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics OS007739L (Pennsylvania)Secondary
208000000XPediatrics DO37583 (South Carolina)Secondary
208000000XPediatrics DO01075 (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. Loretta M Marion allows following entities to bill medicare on her behalf.
Entity NameGeisinger Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366493868
PECOS PAC ID: 5395657001
Enrollment ID: O20040130000518

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. Loretta M Marion 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
Loretta M Marion, DO
375 Allens Ave,
Providence, RI 02905-5010

Ph: (401) 780-2511		Loretta M Marion, DO
355 Prairie Ave,
Providence, RI 02905-1928

Ph: (401) 444-0570

Reviews and Comments


Pediatrics Doctors in Providence, RI

Sara Regan Ford, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1 Hoppin St, Coro Center Suite 304, Providence, RI 02903
Phone: 401-444-4612    Fax: 401-793-8831
Jennifer F Friedman, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Lower Level, Providence, RI 02903
Phone: 401-444-4471    Fax: 401-444-3870
Jason Shapiro, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-8450    Fax: 401-444-5088
Dr. Mikhaela Monty, M.D.
Pediatrics
Medicare: May Accept Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-4471    Fax: 401-444-7574
Rudiger C. Ramlal, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1 Warren Way, Providence, RI 02905
Phone: 401-444-0530    Fax: 401-444-0423
Lala Mammadova,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 111 Plain St, Providence, RI 02903
Phone: 401-793-8100    
Natalia Lukankina, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-4515    

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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