John A Phillip, MD - Medicare General Surgery in Johnston, RI

John A Phillip, MD is a medicare enrolled "Surgery" physician in Johnston, Rhode Island. He graduated from medical school in 1983 and has 35 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Prospect Chartercare Physicians Llc and his current practice location is 1524 Atwood Ave, Suite 245, Johnston, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 521-6080.

John A Phillip is licensed to practice in Rhode Island (license number RI08221) 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 1285617696.

Contact Information

1524 Atwood Ave
Suite 245
Johnston
RI 02919-3228
(401) 521-6080
(401) 521-6092

Map and Direction




Physician's Profile

Full NameJohn A Phillip
GenderMale
SpecialityGeneral Surgery
Experience35 Years
LocationJohnston, 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:
  • John A Phillip graduated from medical school in 1983
  NPI Data:
  • NPI Number: 1285617696
  • Provider Enumeration Date: 11/21/2005
  • Last Update Date: 12/04/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1557362365
  • Enrollment ID: I20070122000561

Medical Identifiers

Medical identifiers for John A Phillip such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285617696NPI-NPPES
004509OtherRIBLUE CHIP #
7002899MedicaidRI
1700281OtherRIUNITED HEALTHCARE #
RI08221OtherRISTATE LICENSE #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery RI08221 (Rhode Island)Primary

Hospital Affiliation

Hospital NameLocationType
Our Lady Of Fatima HospitalNorth providence, RIAcute Care Hospital
Roger Williams Medical CenterProvidence, RIAcute Care Hospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prospect Chartercare Physicians Llc084041665766

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. John A Phillip allows following entities to bill medicare on his behalf.
Entity NameRhode Island Surgeons, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376566257
PECOS PAC ID: 9234154469
Enrollment ID: O20051006001005
Entity NameProspect Chartercare Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629493135
PECOS PAC ID: 0840416657
Enrollment ID: O20140730001883

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. John A Phillip is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Medicare Quality Measures

Quality ProgramParticipation
Reported to Medicare Physician Quality Reporting System (PQRS) No
Used Electronic Health Record (EHR) No
Committed to heart health through the Million Hearts Initiative No

Mailing Address and Practice Location

Mailing AddressPractice Location Address
John A Phillip, MD
1539 Atwood Ave
Suite 201
Johnston
RI 02919-3262

Ph: (401) 521-6310
John A Phillip, MD
1524 Atwood Ave
Suite 245
Johnston
RI 02919-3228

Ph: (401) 521-6080

Reviews and Comments

Surgery Doctors in Johnston, RI

Dr. Dieter Pohl, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: Rhode Island Surgeons Inc, 1539 Atwood Ave Suite 201, Johnston, RI 02919
Phone: 401-521-6310    Fax: 401-861-9596
Jeannine Giovanni, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: Rhode Island Surgeons, Inc, 1539 Atwood Avenue Suite 201, Johnston, RI 02919
Phone: 401-521-6310    Fax: 401-861-9596
Dr. Paul F Lentrichia,
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: Rhode Island Surgeons Inc, 1539 Atwood Avenue Suite 201, Johnston, RI 02919
Phone: 401-521-6310    Fax: 401-861-9596

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.