Kathleen Johanna Nelson, MD - Medicare Family Medicine in West Warwick, RI

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Kathleen Johanna Nelson, MD is a medicare enrolled "Family Medicine" physician in West Warwick, Rhode Island. Her current practice location is 186 Providence St, West Warwick, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 615-2800.

Kathleen Johanna Nelson is licensed to practice in Rhode Island (license number MD19478) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699304360.

Contact Information

Kathleen Johanna Nelson, MD
186 Providence St,
West Warwick, RI 02893-2508
(401) 615-2800
Not Available

Map and Direction




Physician's Profile

Full NameKathleen Johanna Nelson
GenderFemale
SpecialityFamily Medicine
Location186 Providence St, West 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: 1699304360
  • Provider Enumeration Date: 04/05/2020
  • Last Update Date: 06/24/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2466876222
  • Enrollment ID: I20240416000736

Medical Identifiers

Medical identifiers for Kathleen Johanna Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699304360NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD19478 (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. Kathleen Johanna Nelson allows following entities to bill medicare on her behalf.
Entity NameThundermist Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700041001
PECOS PAC ID: 1557270477
Enrollment ID: O20040211000909

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. Kathleen Johanna Nelson 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
Kathleen Johanna Nelson, MD
186 Providence St,
West Warwick, RI 02893-2508

Ph: (401) 615-2800		Kathleen Johanna Nelson, MD
186 Providence St,
West Warwick, RI 02893-2508

Ph: (401) 615-2800

Reviews and Comments


Family Medicine Doctors in West Warwick, RI

Liza Claire Simmons, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 186 Providence St, West Warwick, RI 02893
Phone: 401-615-2880    Fax: 401-615-2805
Dr. Jeannette Laferriere, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 186 Providence St, West Warwick, RI 02893
Phone: 401-615-2800    
Chelsea Erin Graham, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 186 Providence St, West Warwick, RI 02893
Phone: 401-615-2800    Fax: 401-615-2805
Calvin Andrew Stone Mcmillan, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 186 Providence St, West Warwick, RI 02893
Phone: 401-615-2800    
Kendra N Levi, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 186 Providence St, West Warwick, RI 02893
Phone: 401-615-2800    
Arnold Goldberg, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 186 Providence St, West Warwick, RI 02893
Phone: 401-767-4100    
Dr. Inna Ryvkin, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 186 Providence St, West Warwick, RI 02893
Phone: 401-767-4100    

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.