Erik Gunnar Enquist, MD - Medicare Urology in Westerly, RI

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Erik Gunnar Enquist, MD is a medicare enrolled "Urology" physician in Westerly, Rhode Island. He went to University Of Colorado School Of Medicine, Denver and graduated in 1991 and has 34 years of diverse experience with area of expertise as Urology. He is a member of the group practice Northeast Medical Group Inc, Northeast Medical Group Inc, Yale University and his current practice location is 35 Wells St, Westerly, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 596-0964.

Erik Gunnar Enquist is licensed to practice in Rhode Island (license number 10831) 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 1619963535.

Contact Information

Erik Gunnar Enquist, MD
35 Wells St,
Westerly, RI 02891-2922
(401) 596-0964
(401) 596-8634

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Physician's Profile

Full NameErik Gunnar Enquist
GenderMale
SpecialityUrology
Experience34 Years
Location35 Wells St, Westerly, 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:
  • Erik Gunnar Enquist attended and graduated from University Of Colorado School Of Medicine, Denver in 1991
  NPI Data:
  • NPI Number: 1619963535
  • Provider Enumeration Date: 09/26/2005
  • Last Update Date: 04/25/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 0749269751
  • Enrollment ID: I20040714001016

Medical Identifiers

Medical identifiers for Erik Gunnar Enquist such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619963535NPI-NPPES
003114204MedicaidCT
7009864MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 10831 (Rhode Island)Primary
208800000XUrology 040289 (Connecticut)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Westerly HospitalWesterly, RIHospital
Lawrence & Memorial HospitalNew london, CTHospital
Yale-new Haven HospitalNew haven, CTHospital
William W Backus HospitalNorwich, CTHospital
South County Hospital IncWakefield, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeast Medical Group Inc12542338361287
Northeast Medical Group Inc12542338361287
Yale University94360617362389

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. Erik Gunnar Enquist allows following entities to bill medicare on his behalf.
Entity NameNortheast Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043278351
PECOS PAC ID: 1254233836
Enrollment ID: O20170518000594

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. Erik Gunnar Enquist 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
Erik Gunnar Enquist, MD
35 Wells St,
Westerly, RI 02891-2922

Ph: (401) 596-0964		Erik Gunnar Enquist, MD
35 Wells St,
Westerly, RI 02891-2922

Ph: (401) 596-0964

Reviews and Comments


Urology Doctors in Westerly, RI

Franklin Fraser Leddy, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 35 Wells St, Westerly, RI 02891
Phone: 401-596-0964    Fax: 401-596-8634
Tobias Mark Goodman, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 41 East Ave, Westerly, RI 02891
Phone: 401-596-7736    Fax: 401-596-6368

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.