Jane M Chandley, NP is a medicare enrolled "Pediatrics" in Providence, Rhode Island. Her current practice location is
101 Dudley St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 274-1122.
Jane M Chandley is licensed to practice in Rhode Island (license number APRN01213) 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 1255509212.
Provider's Profile
| Full Name | Jane M Chandley |
|---|
| Gender | Female |
|---|
| Speciality | Pediatrics |
|---|
| Location | 101 Dudley 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: 1255509212
- Provider Enumeration Date: 02/12/2008
- Last Update Date: 09/10/2026
Medicare PECOS Information:
- PECOS PAC ID: 5890006134
- Enrollment ID: I20150612001685
Medical Identifiers
Medical identifiers for Jane M Chandley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255509212 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LN0000X | Nurse Practitioner - Neonatal | APRN01213 (Rhode Island) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | APRN01213 (Rhode Island) | Secondary |
| 208000000X | Pediatrics | APRN01213 (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. Jane M Chandley allows following entities to bill medicare on her behalf.
| 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. Jane M Chandley 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 |
|---|
Jane M Chandley, NP
455 Toll Gate Road, Prc And Credentialing,
Warwick, RI 02886-2759
Ph: (401) 273-0641 | Jane M Chandley, NP
101 Dudley St,
Providence, RI 02905-2401
Ph: (401) 274-1122 |
Reviews and Comments