Mary Keough, - Medicare Physical Medicine & Rehabilitation in East Providence, RI

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Mary Keough, is a medicare enrolled "Physical Medicine & Rehabilitation - Sports Medicine" physician in East Providence, Rhode Island. Her current practice location is 33 Veterans Memorial Pkwy, East Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 429-6290.

Mary Keough is licensed to practice in Rhode Island (license number PT03193) 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 1235785239.

Contact Information

Mary Keough,
33 Veterans Memorial Pkwy,
East Providence, RI 02914-5017
(401) 429-6290
Not Available

Map and Direction




Physician's Profile

Full NameMary Keough
GenderFemale
SpecialityPhysical Medicine & Rehabilitation - Sports Medicine
Location33 Veterans Memorial Pkwy, East Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235785239
  • Provider Enumeration Date: 08/15/2019
  • Last Update Date: 07/26/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3678905908
  • Enrollment ID: I20191107001133

Medical Identifiers

Medical identifiers for Mary Keough such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235785239NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine PT03193 (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. Mary Keough allows following entities to bill medicare on her behalf.
Entity NameMatrix Sports Medicine & Physical Therapy Inc
Entity TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Entity IdentifiersNPI Number: 1205894532
PECOS PAC ID: 5395746861
Enrollment ID: O20070125000415

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. Mary Keough 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
Mary Keough,
425 Plainfield St,
Providence, RI 02909-4457

Ph: (401) 316-8344		Mary Keough,
33 Veterans Memorial Pkwy,
East Providence, RI 02914-5017

Ph: (401) 429-6290

Reviews and Comments


Physical Medicine & Rehabilitation Doctors in East Providence, RI

Shiqiang Tian, MD
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 1 Kettle Point Ave, East Providence, RI 02914
Phone: 401-330-1450    
John Robert Parziale, MD
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 450 Veterans Memorial Pkwy, Building 12, East Providence, RI 02914
Phone: 401-435-2288    Fax: 401-435-2282

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.