Roger Niles Mennillo, MD in Warwick, RI

Roger Niles Mennillo, MD is a medicare enrolled "Pediatrics" physician in Warwick, Rhode Island. His current practice location is 176 Toll Gate Rd, Suite 101, Warwick, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 737-9270.

Roger Niles Mennillo is licensed to practice in Rhode Island (license number MD09221) 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 1730155482.

Contact Information

	Roger Niles Mennillo, MD
	176 Toll Gate Rd, Suite 101, Warwick, RI 02886-4482
	(401) 737-9270
	(401) 739-6413

Map and Direction

Physician's Profile

Full Name	Roger Niles Mennillo
Gender	Male
Speciality	Pediatrics
Location	176 Toll Gate Rd, Warwick, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730155482
Provider Enumeration Date: 02/23/2006
Last Update Date: 04/04/2024

Medicare PECOS Information:

PECOS PAC ID: 6406171396
Enrollment ID: I20150218000265

Medical Identifiers

Medical identifiers for Roger Niles Mennillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730155482	NPI	-	NPPES
RM51805	Medicaid	RI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD09221 (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. Roger Niles Mennillo allows following entities to bill medicare on his behalf.

Entity Name	Coastal Medical Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780273540 PECOS PAC ID: 0345658316 Enrollment ID: O20210427001413

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. Roger Niles Mennillo 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
Roger Niles Mennillo, MD 10 Davol Sq, Suite 400, Providence, RI 02903-4754 Ph: (401) 421-4000	Roger Niles Mennillo, MD 176 Toll Gate Rd, Suite 101, Warwick, RI 02886-4482 Ph: (401) 737-9270

Reviews and Comments

Pediatrics Doctors in Warwick, RI

Dr. Stephanie P Favreau, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 400 Bald Hill Rd, Suite 520, Warwick, RI 02886 Phone: 401-793-8520 Fax: 401-793-8527
Raymond Paul Zarlengo, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 176 Toll Gate Rd, Suite 101, Warwick, RI 02886 Phone: 401-737-9240 Fax: 401-739-6413
Dr. Gerald Exil, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 215 Toll Gate Road, Suite 108, Warwick, RI 02886 Phone: 401-737-7701 Fax: 401-732-2048
Dr. Kathleen Ann Calenda, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 185 Joseph Ct, Warwick, RI 02886 Phone: 401-255-8292
Dr. Pamela Jo San Antonio, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 161 Airport Road, Warwick, RI 02889 Phone: 401-737-4282 Fax: 401-738-6896
Hala Chaaban, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-737-7000
Dr. Katherine Castree, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Centerville Rd, The Summit East, Suite 110, Warwick, RI 02886 Phone: 401-615-2299 Fax: 401-615-7529

Roger Niles Mennillo, MD - Medicare Pediatrics in Warwick, RI