Susan J Duffy, MD in Providence, RI

Susan J Duffy, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Providence, Rhode Island. Her current practice location is 593 Eddy St, Claverick 2, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 854-2504.

Susan J Duffy is licensed to practice in Rhode Island (license number MD08890) 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 1497779342.

Contact Information

	Susan J Duffy, MD
	593 Eddy St, Claverick 2, Providence, RI 02903-4923
	(401) 854-2504
	(401) 854-2519

Map and Direction

Physician's Profile

Full Name	Susan J Duffy
Gender	Female
Speciality	Pediatrics - Pediatric Emergency Medicine
Location	593 Eddy St, Providence, 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: 1497779342
Provider Enumeration Date: 07/26/2006
Last Update Date: 09/17/2013

Medicare PECOS Information:

PECOS PAC ID: 0446299143
Enrollment ID: I20050502001334

Medical Identifiers

Medical identifiers for Susan J Duffy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497779342	NPI	-	NPPES
3192067	Medicaid	MA
12/29/2008	Other	MA	TUFTS HEALTH PLAN
1497779342	Other	RI	NPI
404794	Other	RI	BCB SRI
7004958	Medicaid	RI
939025129	Other	RI	MEDICARE GROUP NUMBER
007004958	Other	RI	RI MEDICARE
12/14/2006	Other	RI	NHPRI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD08890 (Rhode Island)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	MD08890 (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. Susan J Duffy allows following entities to bill medicare on her behalf.

Entity Name	Brown Emergency Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962455022 PECOS PAC ID: 7214833169 Enrollment ID: O20040116000868

Entity Name	Lifespan Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368

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. Susan J Duffy 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
Susan J Duffy, MD Po Box 9484, Providence, RI 02940-9484 Ph: (401) 854-2500	Susan J Duffy, MD 593 Eddy St, Claverick 2, Providence, RI 02903-4923 Ph: (401) 854-2504

Reviews and Comments

Pediatrics Doctors in Providence, RI

Sara Regan Ford, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1 Hoppin St, Coro Center Suite 304, Providence, RI 02903 Phone: 401-444-4612 Fax: 401-793-8831
Jennifer F Friedman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Lower Level, Providence, RI 02903 Phone: 401-444-4471 Fax: 401-444-3870
Jason Shapiro, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088
Dr. Mikhaela Monty, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4471 Fax: 401-444-7574
Dale Steele, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903 Phone: 401-854-2504 Fax: 401-854-2519
Chase B Samsel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088
Adebimpe Olubusayo Adewusi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Porter 005, Providence, RI 02903 Phone: 401-444-2877 Fax: 401-444-3804

Susan J Duffy, MD - Medicare Pediatrics in Providence, RI