Mr Phathsady Louangxay, PA - Medicare Physician Assistant in Providence, RI

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Mr Phathsady Louangxay, PA is a medicare enrolled "Physician Assistant - Medical" in Providence, Rhode Island. He graduated from nursing school in 2004 and has 22 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Vmd Primary Providers Of Rhode Island Pc, Lifespan Physician Group Inc, University Surgical Associates, Inc. and his current practice location is 164 Summit Ave # C70, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 793-4545.

Mr Phathsady Louangxay is licensed to practice in Rhode Island (license number 00356) 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 1174586671.

Contact Information

Mr Phathsady Louangxay, PA
164 Summit Ave # C70,
Providence, RI 02906-2853
(401) 793-4545
(401) 793-7866

Map and Direction




Provider's Profile

Full NameMr Phathsady Louangxay
GenderMale
SpecialityPhysician Assistant
Experience22 Years
Location164 Summit Ave # C70, Providence, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Phathsady Louangxay graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1174586671
  • Provider Enumeration Date: 04/07/2006
  • Last Update Date: 02/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8729025184
  • Enrollment ID: I20050418000080

Medical Identifiers

Medical identifiers for Mr Phathsady Louangxay such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174586671NPI-NPPES
1396864542OtherRINPI KENT HOSPITAL PBO
9004070MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 00356 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The Miriam HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Vmd Primary Providers Of Rhode Island Pc307291371451
Lifespan Physician Group Inc25674550821151
University Surgical Associates, Inc.4082503032105

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. Mr Phathsady Louangxay allows following entities to bill medicare on his behalf.
Entity NameUniversity Surgical Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376589895
PECOS PAC ID: 4082503032
Enrollment ID: O20040818001275
Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407116643
PECOS PAC ID: 2567455082
Enrollment ID: O20121029000368
Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285191163
PECOS PAC ID: 2567455082
Enrollment ID: O20190603001535
Entity NameVmd Primary Providers of Rhode Island PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598341067
PECOS PAC ID: 3072913714
Enrollment ID: O20210616003189
Entity NameMdri LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922887157
PECOS PAC ID: 6406291632
Enrollment ID: O20240228000491

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. Mr Phathsady Louangxay 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
Mr Phathsady Louangxay, PA
Po Box 16149,
Rumford, RI 02916-0697

Ph: (401) 453-9625		Mr Phathsady Louangxay, PA
164 Summit Ave # C70,
Providence, RI 02906-2853

Ph: (401) 793-4545

Reviews and Comments


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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).

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