Michael D Connolly, MD in Providence, RI - Medicare General Surgery

Michael D Connolly, MD is a medicare enrolled "Surgery" physician in Providence, Rhode Island. He graduated from medical school in 2001 and has 25 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice University Surgical Associates, Inc. and his current practice location is 2 Dudley St Ste 470, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 553-8355.

Michael D Connolly is licensed to practice in Rhode Island (license number MD12986) 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 1841410743.

Contact Information

	Michael D Connolly, MD
	2 Dudley St Ste 470, Providence, RI 02905-3248
	(401) 553-8355
	(401) 868-2328

Map and Direction

Physician's Profile

Full Name	Michael D Connolly
Gender	Male
Speciality	General Surgery
Experience	25 Years
Location	2 Dudley St Ste 470, Providence, Rhode Island
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michael D Connolly graduated from medical school in 2001

NPI Data:

NPI Number: 1841410743
Provider Enumeration Date: 04/26/2007
Last Update Date: 12/03/2025

Medicare PECOS Information:

PECOS PAC ID: 0648323758
Enrollment ID: I20090806000204

Medical Identifiers

Medical identifiers for Michael D Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841410743	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MD12986 (Rhode Island)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Home & Hospice Care Of Rhode Island	Providence, RI	Hospice
Rhode Island Hospital	Providence, RI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Surgical Associates, Inc.	4082503032	103

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. Michael D Connolly allows following entities to bill medicare on his behalf.

Entity Name	University Surgical Associates, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376589895 PECOS PAC ID: 4082503032 Enrollment ID: O20040818001275

Entity Name	Silver Spring Health Care Management Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619157468 PECOS PAC ID: 4688661127 Enrollment ID: O20080204000391

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. Michael D Connolly 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
Michael D Connolly, MD 15 Lasalle Square, Providence, RI 02903 Ph: (401) 444-3239	Michael D Connolly, MD 2 Dudley St Ste 470, Providence, RI 02905-3248 Ph: (401) 553-8355

Reviews and Comments

Surgery Doctors in Providence, RI

Aileen Hsueh, Surgery Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088
Todd S Stafford, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 195 Collyer St Ste 302, Providence, RI 02904 Phone: 401-228-0633 Fax: 401-793-5171
Dr. Robert Ira Wolf, MD Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5180
Abigail Case, MD Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5180
Dr. Carl Winkler, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 825 Chalkstone Ave, Providence, RI 02908 Phone: 212-523-4000
Edward J. Marcaccio Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Dudley St, Suite 470, Providence, RI 02905 Phone: 401-553-8318 Fax: 401-868-2307
Marcy Ellen Bernstein, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10 Dorrance St Ste 700, Providence, RI 02903 Phone: 954-399-4673

Michael D Connolly, MD - Medicare General Surgery in Providence, RI