Dr Richard Paul Whalen, MD - Medicare Psychiatry in Warwick, RI

Dr Richard Paul Whalen, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Warwick, Rhode Island. He went to Warren Alpert Medical School Of Brown University and graduated in 1986 and has 38 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Newport County Community Mental Health Center, Inc. and his current practice location is 50 Health Lane, The Kent Center For Human & Organizational Development, Warwick, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 738-4300.

Dr Richard Paul Whalen is licensed to practice in Rhode Island (license number MD9380) 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 1891863437.

Contact Information

Dr Richard Paul Whalen, MD
50 Health Lane, The Kent Center For Human & Organizational Development,
Warwick, RI 02886
(401) 738-4300
(401) 738-7718

Map and Direction




Physician's Profile

Full NameDr Richard Paul Whalen
GenderMale
SpecialityPsychiatry
Experience38 Years
Location50 Health Lane, Warwick, 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 Richard Paul Whalen attended and graduated from Warren Alpert Medical School Of Brown University in 1986
  NPI Data:
  • NPI Number: 1891863437
  • Provider Enumeration Date: 12/01/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7315078243
  • Enrollment ID: I20100622000055

Medical Identifiers

Medical identifiers for Dr Richard Paul Whalen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891863437NPI-NPPES
7005743MedicaidRI
1553662OtherRIUBH
400987OtherRIBLUE CHIP
301369OtherRIBLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry MD9380 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Newport HospitalNewport, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Newport County Community Mental Health Center, Inc.983008981219

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 Richard Paul Whalen allows following entities to bill medicare on his behalf.
Entity NameThundermist Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700041001
PECOS PAC ID: 1557270477
Enrollment ID: O20040211000909
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 Richard Paul 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 Richard Paul Whalen, MD
54 Taylor Drive,
North Smithfield, RI 02896

Ph: () -
Dr Richard Paul Whalen, MD
50 Health Lane, The Kent Center For Human & Organizational Development,
Warwick, RI 02886

Ph: (401) 738-4300

Reviews and Comments


Psychiatry & Neurology Doctors in Warwick, RI

Juan Carlos Canton, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 390 Toll Gate Road, Warwick, RI 02886
Phone: 401-737-0005    Fax: 401-737-9880
Neil Labove, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 176 Tollgate Road, Suite 202, Warwick, RI 02886
Phone: 401-738-2325    
Dr. Ethan H Kisch, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 75 Lambert Lind Hwy, 120-100, Warwick, RI 02886
Phone: 401-681-4274    Fax: 401-681-4285
Dr. Tasia Henderson, DNP
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 120 Lavan St Ste 1, Warwick, RI 02888
Phone: 401-808-6421    Fax: 401-259-3028
Marjorie Smith, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 455 Toll Gate Rd, Warwick, RI 02886
Phone: 401-737-7010    Fax: 401-736-4546
Dr. Sandhya M Patel, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 2756 Post Rd, Warwick, RI 02886
Phone: 401-738-4229    
Maurizio Zambenedetti, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 33 College Hill Rd, 29c, Warwick, RI 02886
Phone: 401-822-4673    Fax: 401-822-4676

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.