Daniel Nolte, PA is a medicare enrolled "Physician Assistant" in South Kingstown, Rhode Island. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Brown Dermatology Inc, Lifespan Physician Group Inc and his current practice location is
65 Village Square Dr Ste 201, South Kingstown, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(401) 444-7959.
Daniel Nolte is licensed to practice in Rhode Island (license number PA01370) 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 1124798855.
Provider's Profile
| Full Name | Daniel Nolte |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 65 Village Square Dr Ste 201, South Kingstown, Rhode Island |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Daniel Nolte graduated from nursing school in 2020
NPI Data:
- NPI Number: 1124798855
- Provider Enumeration Date: 09/14/2021
- Last Update Date: 12/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 1759779960
- Enrollment ID: I20211020002465
Medical Identifiers
Medical identifiers for Daniel Nolte such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124798855 | NPI | - | NPPES |
| 1124798855 | Medicaid | RI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA01370 (Rhode Island) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Brown Dermatology Inc | 3870872773 | 28 |
| Lifespan Physician Group Inc | 2567455082 | 1151 |
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. Daniel Nolte allows following entities to bill medicare on his behalf.
| Entity Name | Lifespan Physician Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407116643
PECOS PAC ID: 2567455082
Enrollment ID: O20121029000368 |
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| Entity Name | Brown Dermatology Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730538026
PECOS PAC ID: 3870872773
Enrollment ID: O20161117000508 |
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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. Daniel Nolte 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 |
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Daniel Nolte, PA
15 La Salle Sq,
Providence, RI 02903-1814
Ph: (401) 444-6779 | Daniel Nolte, PA
65 Village Square Dr Ste 201,
South Kingstown, RI 02879-2569
Ph: (401) 444-7959 |
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