Henry Randall Pendleton Jr, NP in East Greenwich, RI

Henry Randall Pendleton Jr, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in East Greenwich, Rhode Island. He graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Affinity Physicians Llc. and his current practice location is 1407 S County Trl, East Greenwich, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 886-4040.

Henry Randall Pendleton Jr is licensed to practice in Rhode Island (license number NPP37741) 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 1669810529.

Contact Information

	Henry Randall Pendleton Jr, NP
	1407 S County Trl, East Greenwich, RI 02818-1652
	(401) 886-4040
	(401) 886-4010

Map and Direction

Provider's Profile

Full Name	Henry Randall Pendleton Jr
Gender	Male
Speciality	Nurse Practitioner
Experience	16 Years
Location	1407 S County Trl, East Greenwich, Rhode Island
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Henry Randall Pendleton Jr graduated from nursing school in 2008

NPI Data:

NPI Number: 1669810529
Provider Enumeration Date: 06/12/2013
Last Update Date: 06/12/2013

Medicare PECOS Information:

PECOS PAC ID: 2567694417
Enrollment ID: I20140409000044

Medical Identifiers

Medical identifiers for Henry Randall Pendleton Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669810529	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	NPP37741 (Rhode Island)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kent County Memorial Hospital	Warwick, RI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Affinity Physicians Llc.	0244413391	619

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. Henry Randall Pendleton Jr allows following entities to bill medicare on his behalf.

Entity Name	University Gastroenterology, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386952612 PECOS PAC ID: 3678762804 Enrollment ID: O20110104000826

Entity Name	Affinity Physicians Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184944662 PECOS PAC ID: 0244413391 Enrollment ID: O20110326000053

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. Henry Randall Pendleton Jr 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
Henry Randall Pendleton Jr, NP 33 Staniford St, Providence, RI 02905-3105 Ph: (401) 421-8800	Henry Randall Pendleton Jr, NP 1407 S County Trl, East Greenwich, RI 02818-1652 Ph: (401) 886-4040

Reviews and Comments

Nurse Practitioner Nurses in East Greenwich, RI

Lisa Pinkes, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1285 S County Trl, East Greenwich, RI 02818 Phone: 401-256-7573
Ms. Sarah L Congleton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1351 S County Trl, Bldg 1, Suite 100, East Greenwich, RI 02818 Phone: 401-886-5907 Fax: 401-885-6071
Miss Jessica Anne Butt, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1285 S County Trl, East Greenwich, RI 02818 Phone: 401-886-0902
Lauren Chappell, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1351 S County Trl, East Greenwich, RI 02818 Phone: 401-398-0860
Meighan Dingle Blanco, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3461 S County Trl, Suite 202, East Greenwich, RI 02818 Phone: 401-471-3376 Fax: 401-471-6865
Ms. Ingrid Leon, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1407 S County Trl Ste 430a, East Greenwich, RI 02818 Phone: 401-886-7910 Fax: 401-886-7913
Mrs. Jena Mcclure Richter, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1351 S County Trl Ste 115, East Greenwich, RI 02818 Phone: 401-884-0333

Henry Randall Pendleton Jr, NP - Medicare Nurse Practitioner in East Greenwich, RI