Mrs Michelle L Tautkus, PA-C - Medicare Physician Assistant in Warwick, RI

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Mrs Michelle L Tautkus, PA-C is a medicare enrolled "Physician Assistant" in Warwick, Rhode Island. She graduated from nursing school in 2004 and has 22 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Beth Israel Lahey Health Primary Care, Inc, Lahey Clinic Inc and her current practice location is 475 Kilvert Street, Suite 310, Warwick, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (781) 472-8650.

Mrs Michelle L Tautkus is licensed to practice in Massachusetts (license number PA1856) 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 1053319038.

Contact Information

Mrs Michelle L Tautkus, PA-C
475 Kilvert Street, Suite 310,
Warwick, RI 02886
(781) 472-8650
Not Available

Map and Direction




Provider's Profile

Full NameMrs Michelle L Tautkus
GenderFemale
SpecialityPhysician Assistant
Experience22 Years
Location475 Kilvert Street, Warwick, 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:
  • Mrs Michelle L Tautkus graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1053319038
  • Provider Enumeration Date: 07/13/2005
  • Last Update Date: 02/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0042260887
  • Enrollment ID: I20050128000521

Medical Identifiers

Medical identifiers for Mrs Michelle L Tautkus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053319038NPI-NPPES
PA00464OtherRIRHODE ISLAND LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 1856 (Massachusetts)Secondary
363AM0700XPhysician Assistant - Medical PA00464 (Rhode Island)Secondary
363A00000XPhysician Assistant PA1856 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beverly Hospital CorporationBeverly, MAHospital
Lahey Hospital & Medical Center, BurlingtonBurlington, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Beth Israel Lahey Health Primary Care, Inc7719291434351
Lahey Clinic Inc22643365281381

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. Mrs Michelle L Tautkus allows following entities to bill medicare on her behalf.
Entity NameLahey Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538194980
PECOS PAC ID: 2264336528
Enrollment ID: O20031120000097
Entity NameSignature Healthcare Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508804949
PECOS PAC ID: 7719876267
Enrollment ID: O20040312000372
Entity NameBrockton Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063431286
PECOS PAC ID: 4082504733
Enrollment ID: O20040317000871
Entity NameLahey Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063447316
PECOS PAC ID: 2264336528
Enrollment ID: O20040629001269
Entity NameSound Physicians of Massachusetts Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740678408
PECOS PAC ID: 2062554637
Enrollment ID: O20100120000133
Entity NameBeth Israel Lahey Health Primary Care, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568292423
PECOS PAC ID: 7719291434
Enrollment ID: O20160517000441
Entity NameLowell General Inpatient Specialists PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649626391
PECOS PAC ID: 8729371380
Enrollment ID: O20160720001673

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. Mrs Michelle L Tautkus 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
Mrs Michelle L Tautkus, PA-C
475 Kilvert Street, Suite 310,
Warwick, RI 02886

Ph: (781) 472-8650		Mrs Michelle L Tautkus, PA-C
475 Kilvert Street, Suite 310,
Warwick, RI 02886

Ph: (781) 472-8650

Reviews and Comments


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Riley Nicole Nascimento, PA-C
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Mr. Christopher D Caissie, PA-C
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Sandra Salamanca, PHYSICIAN ASSISTANT
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Kimberly Marie Morse, PA-C
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Practice Location: 475 Kilvert St, Suite 310, Warwick, RI 02886
Phone: 781-472-8650    
Ms. Arlene Denise Kavanagh, PA-C
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Phone: 401-738-3730    Fax: 401-738-3777
Lia Marie Moceri,
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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).

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.