Melanie Koehler, PCNS - Medicare Certified Clinical Nurse Specialist (cns) in North Kingstown, RI

Melanie Koehler, PCNS is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in North Kingstown, Rhode Island. She graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Garden City Psychiatry Llc and her current practice location is 1950 Tower Hill Rd, North Kingstown, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 258-3829.

Melanie Koehler is licensed to practice in Rhode Island (license number PPNS00016) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366488264.

Contact Information

Melanie Koehler, PCNS
1950 Tower Hill Rd,
North Kingstown, RI 02852-6639
(401) 258-3829
Not Available

Map and Direction




Provider's Profile

Full NameMelanie Koehler
GenderFemale
SpecialityCertified Clinical Nurse Specialist (cns)
Experience23 Years
Location1950 Tower Hill Rd, North Kingstown, Rhode Island
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Melanie Koehler graduated from nursing school in 2001
  NPI Data:
  • NPI Number: 1366488264
  • Provider Enumeration Date: 06/21/2006
  • Last Update Date: 02/06/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 9234385972
  • Enrollment ID: I20120810000663

Medical Identifiers

Medical identifiers for Melanie Koehler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366488264NPI-NPPES
30031-7OtherRIBLUE CROSS & BLUE SHIELD
MK41385MedicaidRI
409219OtherRICOORDINATED HEALTH PLANS
007009201OtherRIRAILROAD MEDICARE
05-0468084OtherRIUNITED HEALTH PLANS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health PPNS00016 (Rhode Island)Secondary
364SP0808XClinical Nurse Specialist - Psychiatric/mental Health PPNS00016 (Rhode Island)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Garden City Psychiatry Llc38708807433

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. Melanie Koehler allows following entities to bill medicare on her behalf.
Entity NameGarden City Psychiatry Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801246616
PECOS PAC ID: 3870880743
Enrollment ID: O20160920001817

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. Melanie Koehler 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 AddressPractice Location Address
Melanie Koehler, PCNS
15 Eagle Ln,
East Greenwich, RI 02818-1332

Ph: (401) 258-3829
Melanie Koehler, PCNS
1950 Tower Hill Rd,
North Kingstown, RI 02852-6639

Ph: (401) 258-3829

Reviews and Comments


Clinical Nurse Specialist Nurses in North Kingstown, RI

Mrs. Jennifer A Ugbah, CNS
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 308 Callahan Rd, North Kingstown, RI 02852
Phone: 401-295-9706    
Ms. Linda Lee Gadoury, CNS
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 1130 Ten Rod Rd, The Meadows Bldg D 305a, North Kingstown, RI 02852
Phone: 401-294-8231    
Donna M Leite, MS. RN. CS - APRN-BC
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 1130 Ten Rod Rd Ste E-204, C/o Associates In Psychotherapy, North Kingstown, RI 02852
Phone: 401-294-9600    Fax: 401-295-7395
Carmen B Lysaght, MSN RNCS APRN
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 1130 Ten Rod Road, Associates In Psychotherapy Suite E204, North Kingstown, RI 02852
Phone: 401-294-9600    Fax: 401-295-7395
Ms. Linda E Eddleston, PCNS BC
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 38 Reynolds St, North Kingstown, RI 02852
Phone: 401-374-1419    

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.