Ethan Prince, - Medicare Radiology in Warwick, RI

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Ethan Prince, is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Warwick, Rhode Island. His current practice location is 125 Metro Center Blvd Ste 2000, Warwick, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 432-2520.

Ethan Prince is licensed to practice in Rhode Island (license number 12864) 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 1306064563.

Contact Information

Ethan Prince,
125 Metro Center Blvd Ste 2000,
Warwick, RI 02886-1785
(401) 432-2520
(401) 921-9212

Map and Direction




Physician's Profile

Full NameEthan Prince
GenderMale
SpecialityRadiology - Vascular & Interventional Radiology
Location125 Metro Center Blvd Ste 2000, Warwick, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306064563
  • Provider Enumeration Date: 04/23/2007
  • Last Update Date: 04/04/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0749332237
  • Enrollment ID: I20220916002345

Medical Identifiers

Medical identifiers for Ethan Prince such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306064563NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology MD12864 (Rhode Island)Secondary
2085R0202XRadiology - Diagnostic Radiology LP00309 (Rhode Island)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 12864 (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. Ethan Prince allows following entities to bill medicare on his behalf.
Entity NameMidstate Radiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578518999
PECOS PAC ID: 4880593565
Enrollment ID: O20031231000543
Entity NameDiagnostic Imaging Services Of Ct Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093760431
PECOS PAC ID: 3577465111
Enrollment ID: O20040123000288
Entity NameMeriden Imaging Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508812561
PECOS PAC ID: 4385683556
Enrollment ID: O20050427000621

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. Ethan Prince 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
Ethan Prince,
125 Metro Center Blvd Ste 2000,
Warwick, RI 02886-1785

Ph: (401) 432-2520		Ethan Prince,
125 Metro Center Blvd Ste 2000,
Warwick, RI 02886-1785

Ph: (401) 432-2520

Reviews and Comments


Radiology Doctors in Warwick, RI

Marcelle L Piccolello, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 125 Metro Center Blvd Ste 2000, Warwick, RI 02886
Phone: 401-432-2520    Fax: 401-453-8220
David W Rowe, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 455 Toll Gate Rd, Warwick, RI 02886
Phone: 401-737-7010    
Dr. Anthony G Bruzzese, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 300 Toll Gate Rd, Ste 101a, Warwick, RI 02886
Phone: 401-738-3100    Fax: 401-738-8505
Dr. Robert C Ward, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 125 Metro Center Blvd Ste 2000, Warwick, RI 02886
Phone: 401-432-2500    Fax: 401-453-8220
Jeffrey D Potter, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 31 Bay Lawn Ave, Warwick, RI 02888
Phone: 401-941-6162    
Gaurav Jindal,
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 125 Metro Center Blvd Ste 2000, Warwick, RI 02886
Phone: 401-432-2500    Fax: 401-921-9212
Hanan Ibrahim Khalil, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 125 Metro Center Blvd Ste 2000, Warwick, RI 02886
Phone: 401-432-2520    Fax: 401-453-8220

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.