Jewish Seniors Agency Of Ri - Medicare Mental Health Clinic in Providence, RI

Jewish Seniors Agency Of Ri is a medicare enrolled mental health clinic (Counselor - Mental Health) in Providence, Rhode Island. The current practice location for Jewish Seniors Agency Of Ri is 1165 N Main St, Providence, Rhode Island. For appointments, you can reach them via phone at (401) 331-1244. The mailing address for Jewish Seniors Agency Of Ri is 1165 N Main St, Providence, Rhode Island and phone number is (401) 331-1244.

Jewish Seniors Agency Of Ri is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1073162202. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (401) 331-1244.

Contact Information

Jewish Seniors Agency Of Ri
1165 N Main St
Providence
RI 02904-5740
(401) 331-1244
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameJewish Seniors Agency Of Ri
SpecialityCounselor
Location1165 N Main St, Providence, Rhode Island
Authorized Official Name and PositionMerelise A Hitte (CFO)
Authorized Official Contact4013311244
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jewish Seniors Agency Of Ri
1165 N Main St
Providence
RI 02904-5740

Ph: (401) 331-1244
Jewish Seniors Agency Of Ri
1165 N Main St
Providence
RI 02904-5740

Ph: (401) 331-1244

NPI Details:

NPI Number1073162202
Provider Enumeration Date09/10/2019
Last Update Date09/30/2019

Medicare PECOS Information:

Medicare PECOS PAC ID3274863683
Medicare Enrollment IDO20190927002138

Medical Identifiers

Medical identifiers for Jewish Seniors Agency Of Ri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073162202NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Primary
332B00000XDurable Medical Equipment & Medical Supplies (* (Not Available))Secondary
333300000XEmergency Response System Companies (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jewish Seniors Agency Of Ri acts as a billing entity for following providers:
Provider NameM G Dayian
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1316292378
PECOS PAC ID: 8022097609
Enrollment ID: I20040716000734
Provider NameJoan M Spencer
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1760450753
PECOS PAC ID: 5496726994
Enrollment ID: I20050218000036
Provider NameElinor M Collins
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1063597466
PECOS PAC ID: 6709833064
Enrollment ID: I20050407001212
Provider NameRebecca M Gessow
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1255493904
PECOS PAC ID: 3173549755
Enrollment ID: I20051022000227
Provider NamePauline Dwyer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700971900
PECOS PAC ID: 0941302772
Enrollment ID: I20070226000639
Provider NameJessica Fabiano
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1932200763
PECOS PAC ID: 5698851442
Enrollment ID: I20080319000623
Provider NamePatricia B Harwood
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1265465454
PECOS PAC ID: 1658409610
Enrollment ID: I20100512000418
Provider NameTina Sheff
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1801811260
PECOS PAC ID: 2466583927
Enrollment ID: I20100627000015
Provider NameLori L. Fogarty
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1982769162
PECOS PAC ID: 2769701234
Enrollment ID: I20150505001170
Provider NameKaren Gager
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1467817601
PECOS PAC ID: 6103125646
Enrollment ID: I20160504001578
Provider NameDiana Huynh
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1831553841
PECOS PAC ID: 0244590800
Enrollment ID: I20180131000605
Provider NameEmily J Dimon
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326560004
PECOS PAC ID: 9830450337
Enrollment ID: I20180226000484
Provider NameTara Marie Watkins
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1508345778
PECOS PAC ID: 4981936416
Enrollment ID: I20191101000365
Provider NameLaurie Mcniff
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1659580827
PECOS PAC ID: 1355508276
Enrollment ID: I20210805002957
Provider NameKarin Camara
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1528526415
PECOS PAC ID: 3678987823
Enrollment ID: I20220208002393
Provider NameDeyanira M Caminero
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942764949
PECOS PAC ID: 2466846324
Enrollment ID: I20220218002108
Provider NameKathryn Giardino
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215670443
PECOS PAC ID: 8820470669
Enrollment ID: I20220727000091
Provider NameAllyson Marie Girouard
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1063121879
PECOS PAC ID: 0648629600
Enrollment ID: I20231215001558
Provider NameJoan Teresa Mancuso
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1457904435
PECOS PAC ID: 1951754746
Enrollment ID: I20240129001351

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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.