Frank Overly, MD in Providence, RI

Frank Overly, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Providence, Rhode Island. His current practice location is 593 Eddy St, Claverick 2, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 444-4000.

Frank Overly is licensed to practice in Rhode Island (license number MD10315) 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 1679587505.

Contact Information

	Frank Overly, MD
	593 Eddy St, Claverick 2, Providence, RI 02903-4923
	(401) 444-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Frank Overly
Gender	Male
Speciality	Pediatrics - Pediatric Emergency Medicine
Location	593 Eddy St, Providence, 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: 1679587505
Provider Enumeration Date: 07/28/2006
Last Update Date: 08/24/2020

Medicare PECOS Information:

PECOS PAC ID: 4688629611
Enrollment ID: I20050314000155

Medical Identifiers

Medical identifiers for Frank Overly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679587505	NPI	-	NPPES
1679587505	Other	RI	NPI
12/29/2008	Other	MA	TUFTS HEALTH PLAN
04/15/2009	Other	RI	UNITED HEALTHCARE
0123391	Medicaid	MA
10-08-2009	Other	RI	NHPRI
03/01/2009	Other	RI	BCBSRI
7008484	Medicaid	RI
939025129	Other	RI	RI MEDICARE GROUP NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0204X	Pediatrics - Pediatric Emergency Medicine	MD10315 (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. Frank Overly allows following entities to bill medicare on his behalf.

Entity Name	Brown Emergency Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962455022 PECOS PAC ID: 7214833169 Enrollment ID: O20040116000868

Entity Name	Lifespan Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368

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. Frank Overly 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
Frank Overly, MD 125 Whipple St Ste 3, Providence, RI 02908-3258 Ph: (401) 519-0330	Frank Overly, MD 593 Eddy St, Claverick 2, Providence, RI 02903-4923 Ph: (401) 444-4000

Reviews and Comments

Pediatrics Doctors in Providence, RI

Evianna Cruz Herrera, MD/MPH Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903 Phone: 401-444-4471
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: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4471 Fax: 401-444-7574
Dale Steele, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903 Phone: 401-854-2504 Fax: 401-854-2519
Chase B Samsel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088

Frank Overly, MD - Medicare Pediatrics in Providence, RI