Marygene M Santa Teresa, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in South Kingstown, Rhode Island. She graduated from medical school in 1996 and has 30 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Affinity Physicians Llc., Child And Family Psychiatry, Inc. and her current practice location is
65 Village Square Dr Ste 302, South Kingstown, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 785-0040.
Marygene M Santa Teresa is licensed to practice in Rhode Island (license number 11597) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336158344.
Physician's Profile
| Full Name | Marygene M Santa Teresa |
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| Gender | Female |
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| Speciality | Psychiatry |
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| Experience | 30 Years |
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| Location | 65 Village Square Dr Ste 302, South Kingstown, Rhode Island |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Marygene M Santa Teresa graduated from medical school in 1996
NPI Data:
- NPI Number: 1336158344
- Provider Enumeration Date: 08/07/2006
- Last Update Date: 06/15/2026
Medicare PECOS Information:
- PECOS PAC ID: 0345131819
- Enrollment ID: I20050225000429
Medical Identifiers
Medical identifiers for Marygene M Santa Teresa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336158344 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 041649 (Connecticut) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 11597 (Rhode Island) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Affinity Physicians Llc. | 0244413391 | 723 |
| Child And Family Psychiatry, Inc. | 5294173464 | 90 |
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. Marygene M Santa Teresa allows following entities to bill medicare on her behalf.
| Entity Name | Affinity Physicians LLC. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184944662 PECOS PAC ID: 0244413391 Enrollment ID: O20110326000053 |
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| Entity Name | Child and Family Psychiatry, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760863229 PECOS PAC ID: 5294173464 Enrollment ID: O20240406000126 |
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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. Marygene M Santa Teresa 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 Address | Practice Location Address |
Marygene M Santa Teresa, MD 4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630 Ph: (401) 785-0040 | Marygene M Santa Teresa, MD 65 Village Square Dr Ste 302, South Kingstown, RI 02879-2569 Ph: (401) 785-0040 |
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