Peter Michael Small, MD is a medicare enrolled "Family Medicine" physician in North Providence, Rhode Island. His current practice location is
200 High Service Avenue, St. Joseph Health Services Of Rhode Island, North Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(401) 490-5365.
Peter Michael Small is licensed to practice in Rhode Island (license number MD05276) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972557346.
Physician's Profile
| Full Name | Peter Michael Small |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 200 High Service Avenue, North Providence, Rhode Island |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972557346
- Provider Enumeration Date: 05/20/2006
- Last Update Date: 11/30/2009
Medicare PECOS Information:
- PECOS PAC ID: 0042379455
- Enrollment ID: I20081030000037
Medical Identifiers
Medical identifiers for Peter Michael Small such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972557346 | NPI | - | NPPES |
| 8002001 | Medicaid | RI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | MD05276 (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. Peter Michael Small allows following entities to bill medicare on his behalf.
| Entity Name | Prospect Chartercare Sjhsri Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588089759
PECOS PAC ID: 7315179314
Enrollment ID: O20140722001928 |
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| Entity Name | Prospect Chartercare Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629493135
PECOS PAC ID: 0840416657
Enrollment ID: O20140730001883 |
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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. Peter Michael Small 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 |
|---|
Peter Michael Small, MD
Po Box 1340,
Charlestown, RI 02813-1340
Ph: (401) 788-8212 | Peter Michael Small, MD
200 High Service Avenue, St. Joseph Health Services Of Rhode Island,
North Providence, RI 02904
Ph: (401) 490-5365 |
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