Roxanne Marie Simmons, MD - Medicare Pediatrics in Lincoln, RI

Roxanne Marie Simmons, MD is a medicare enrolled "Pediatrics" physician in Lincoln, Rhode Island. Her current practice location is 6 Blackstone Valley Pl Ste 500, Lincoln, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 334-1200.

Roxanne Marie Simmons is licensed to practice in Rhode Island (license number MD08908) 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 1750341228.

Contact Information

Roxanne Marie Simmons, MD
6 Blackstone Valley Pl Ste 500,
Lincoln, RI 02865-1102
(401) 334-1200
(401) 334-1111

Map and Direction




Physician's Profile

Full NameRoxanne Marie Simmons
GenderFemale
SpecialityPediatrics
Location6 Blackstone Valley Pl Ste 500, Lincoln, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750341228
  • Provider Enumeration Date: 03/27/2006
  • Last Update Date: 12/09/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2961587571
  • Enrollment ID: I20210928000820

Medical Identifiers

Medical identifiers for Roxanne Marie Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750341228NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD08908 (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. Roxanne Marie Simmons allows following entities to bill medicare on her behalf.
Entity NameChildren First Pediatrics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639141310
PECOS PAC ID: 6800971417
Enrollment ID: O20080306000516

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. Roxanne Marie Simmons 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
Roxanne Marie Simmons, MD
6 Blackstone Valley Pl, Suite 702,
Lincoln, RI 02865-1179

Ph: (401) 334-1200
Roxanne Marie Simmons, MD
6 Blackstone Valley Pl Ste 500,
Lincoln, RI 02865-1102

Ph: (401) 334-1200

Reviews and Comments


Pediatrics Doctors in Lincoln, RI

Dr. Rebecca M Fisher, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6 Blackstone Valley Pl Ste 500, Lincoln, RI 02865
Phone: 401-334-1200    Fax: 401-334-1111
Prerana Baranwal,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 701 George Washington Hwy Ste 104, Lincoln, RI 02865
Phone: 401-606-8052    
Malini C. Gillen, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1 Commerce St, Pediatrics, Lincoln, RI 02865
Phone: 401-793-8484    Fax: 401-793-8481
Thomas Patrick Hines, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 6 Blackstone Valley Place Suite 306b, Lincoln, RI 02865
Phone: 401-334-4021    Fax: 401-334-4886
Karen Elissa Madras, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6 Blackstone Valley Place, Suite 306b, Lincoln, RI 02865
Phone: 401-334-4021    Fax: 401-334-4886
Dr. Gerardo Concilio, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 132 Old River Rd, Suite203, Lincoln, RI 02865
Phone: 401-334-2949    Fax: 401-334-0867
Richard Lionel Teixeira, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6 Blackstone Valley Place, Suite 306b, Lincoln, RI 02865
Phone: 401-334-4021    Fax: 401-334-4886

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.