King Wai To, MD - Medicare Ophthalmology in Providence, RI

King Wai To, MD is a medicare enrolled "Ophthalmology" physician in Providence, Rhode Island. He went to Warren Alpert Medical School Of Brown University and graduated in 1986 and has 38 years of diverse experience with area of expertise as Ophthalmology. His current practice location is One Hoppin Street, Suite 202, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 831-4592.

King Wai To is licensed to practice in Rhode Island (license number 7985) 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 1174670806.

Contact Information

King Wai To, MD
One Hoppin Street, Suite 202,
Providence, RI 02903-4141
(401) 831-4592
(401) 831-4643

Map and Direction




Physician's Profile

Full NameKing Wai To
GenderMale
SpecialityOphthalmology
Experience38 Years
LocationOne Hoppin Street, Providence, 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:
  • King Wai To attended and graduated from Warren Alpert Medical School Of Brown University in 1986
  NPI Data:
  • NPI Number: 1174670806
  • Provider Enumeration Date: 01/04/2007
  • Last Update Date: 06/12/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 3173658770
  • Enrollment ID: I20100322000610

Medical Identifiers

Medical identifiers for King Wai To such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174670806NPI-NPPES
15679RIHOtherRIHARVARD PILGRIM HEALTHCARE
2503OtherRINEIGHBORHOOD HEALTH PLAN OF RI
20082OtherRIBCBS OF RI
203904OtherRIBCBS - BLUE CHIP
180022235OtherRIRAILROAD MEDICARE
9020082MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 7985 (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. King Wai To allows following entities to bill medicare on his behalf.
Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. King Wai To 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
King Wai To, MD
One Hoppin Street, Suite 202,
Providence, PR 02903-4141

Ph: (401) 831-4592
King Wai To, MD
One Hoppin Street, Suite 202,
Providence, RI 02903-4141

Ph: (401) 831-4592

Reviews and Comments


Ophthalmology Doctors in Providence, RI

Marjorie A. Murphy, M.D.
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: One Hoppin Street, Suite 202, Providence, RI 02903
Phone: 401-831-4592    Fax: 401-831-4643
Michael E Migliori, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Hoppin St, Suite 202, Providence, RI 02903
Phone: 401-444-6551    Fax: 401-444-6587
Dr. Noelle Layer Pruzan, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 623 Atwells Ave, Providence, RI 02909
Phone: 401-273-7100    
Dr. Harold Arthur Woodcome Jr., MD
Ophthalmology
Medicare: Medicare Enrolled
Practice Location: 101 Plain St Ste 101, Providence, RI 02903
Phone: 401-274-5844    Fax: 401-274-9462
Joseph Francis Ducharme, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 78 Baker Street, Providence, RI 02905
Phone: 401-831-4592    Fax: 401-831-4643
John P Donahue, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 150 E Manning St, Providence, RI 02906
Phone: 401-272-2020    Fax: 401-421-5979

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.