Joseph D Pianka, MD - Medicare Gastroenterology in Portsmouth, RI

  1. Home
  2. Gastroenterology
  3. RI
  4. Portsmouth
Joseph D Pianka, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Portsmouth, Rhode Island. He went to State University Of Ny Upstate Medical University and graduated in 1995 and has 29 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice University Gastroenterology, Llc and his current practice location is 110 Clock Tower Sq, Portsmouth, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 293-5600.

Joseph D Pianka is licensed to practice in Rhode Island (license number 10537) 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 1023189370.

Contact Information

Joseph D Pianka, MD
110 Clock Tower Sq,
Portsmouth, RI 02871-1396
(401) 293-5600
(401) 293-5604

Map and Direction




Physician's Profile

Full NameJoseph D Pianka
GenderMale
SpecialityGastroenterology
Experience29 Years
Location110 Clock Tower Sq, Portsmouth, 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:
  • Joseph D Pianka attended and graduated from State University Of Ny Upstate Medical University in 1995
  NPI Data:
  • NPI Number: 1023189370
  • Provider Enumeration Date: 11/10/2006
  • Last Update Date: 11/02/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5395709471
  • Enrollment ID: I20041206000171

Medical Identifiers

Medical identifiers for Joseph D Pianka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023189370NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 10537 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Newport HospitalNewport, RIHospital
The Miriam HospitalProvidence, RIHospital
Rhode Island HospitalProvidence, RIHospital
Southcoast Hospitals GroupFall river, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Gastroenterology, Llc367876280475

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. Joseph D Pianka allows following entities to bill medicare on his behalf.
Entity NameUniversity Gastroenterology, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386952612
PECOS PAC ID: 3678762804
Enrollment ID: O20110104000826

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. Joseph D Pianka 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
Joseph D Pianka, MD
110 Clock Tower Sq,
Portsmouth, RI 02871-1396

Ph: (401) 293-5600		Joseph D Pianka, MD
110 Clock Tower Sq,
Portsmouth, RI 02871-1396

Ph: (401) 293-5600

Reviews and Comments


Internal Medicine Doctors in Portsmouth, RI

Dr. Kathleen Rae Zeller, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 2444 East Main Road, Portsmouth, RI 02871
Phone: 401-683-4817    Fax: 508-973-0318
Thomas P. Mcmahon, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 110 Clock Tower Sq, Portsmouth, RI 02871
Phone: 401-293-5600    Fax: 401-293-5604

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.