Samuel Edwin Donovan, - Medicare Family Practice in Pawtucket, RI

Samuel Edwin Donovan, is a medicare enrolled "Family Medicine" physician in Pawtucket, Rhode Island. He went to University Of Rochester School Of Medicine And Dentistry and graduated in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Cayuga Medical Associates Pc and his current practice location is 111 Brewster St, Pawtucket, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 729-2304.

Samuel Edwin Donovan is licensed to practice in Rhode Island (license number LP04395) 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 1215433230.

Contact Information

Samuel Edwin Donovan,
111 Brewster St,
Pawtucket, RI 02860
(401) 729-2304
Not Available

Map and Direction




Physician's Profile

Full NameSamuel Edwin Donovan
GenderMale
SpecialityFamily Practice
Experience6 Years
Location111 Brewster St, Pawtucket, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel Edwin Donovan attended and graduated from University Of Rochester School Of Medicine And Dentistry in 2018
  NPI Data:
  • NPI Number: 1215433230
  • Provider Enumeration Date: 03/30/2018
  • Last Update Date: 07/06/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0244588549
  • Enrollment ID: I20211006002006

Medical Identifiers

Medical identifiers for Samuel Edwin Donovan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215433230NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine LP04395 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Vns Ithaca Tompkins Co ChhaIthaca, NYHome health agency
Cayuga Medical Center At IthacaIthaca, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cayuga Medical Associates Pc6709897960213

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. Samuel Edwin Donovan allows following entities to bill medicare on his behalf.
Entity NameFamily Medicine Associates Of Ithaca Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326184490
PECOS PAC ID: 3779566435
Enrollment ID: O20040611001359
Entity NameCayuga Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679525455
PECOS PAC ID: 6709897960
Enrollment ID: O20060601000199

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. Samuel Edwin Donovan 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
Samuel Edwin Donovan,
304 School St,
Watertown, MA 02472-1415

Ph: (617) 549-4262
Samuel Edwin Donovan,
111 Brewster St,
Pawtucket, RI 02860

Ph: (401) 729-2304

Reviews and Comments


Family Medicine Doctors in Pawtucket, RI

Amanda A Kelvey, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 111 Brewster St, Fcc Team C, Pawtucket, RI 02860
Phone: 401-729-2769    Fax: 401-729-2772
Nelson Mendes, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 381 Pawtucket Ave, Pawtucket, RI 02860
Phone: 401-965-4382    
Sara Elizabeth Holmes, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 111 Brewster St, Pawtucket, RI 02860
Phone: 530-448-1740    
Dr. Ashley Michelle Lakin, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 111 Brewster St, Fcc C, Pawtucket, RI 02860
Phone: 401-729-2769    Fax: 401-729-2772
Pearl Igwe, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 111 Brewster St, Pawtucket, RI 02860
Phone: 401-729-2206    Fax: 401-921-6962
Marian Younge, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 111 Brewster St, Pawtucket, RI 02860
Phone: 401-729-2304    Fax: 401-729-2923
Dawn M Borschel, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 21 Division St, Pawtucket, RI 02860
Phone: 401-727-4800    Fax: 401-921-6924

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.