Ms Bethany Nelson, PA-C - Medicare Physician Assistant in Providence, RI

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Ms Bethany Nelson, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Providence, Rhode Island. She went to State University Of New York At Stony Brook, School Of Medicine and graduated in 2010 and has 16 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Lifespan Physician Group Inc, University Surgical Associates, Inc., South Shore Medical Center, Inc. and her current practice location is 164 Summit Ave, C70, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 793-4545.

Ms Bethany Nelson is licensed to practice in Rhode Island (license number PA00560) 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 1912217415.

Contact Information

Ms Bethany Nelson, PA-C
164 Summit Ave, C70,
Providence, RI 02906-2853
(401) 793-4545
(401) 793-7866

Map and Direction




Provider's Profile

Full NameMs Bethany Nelson
GenderFemale
SpecialityPhysician Assistant
Experience16 Years
Location164 Summit Ave, Providence, 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:
  • Ms Bethany Nelson attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1912217415
  • Provider Enumeration Date: 10/18/2010
  • Last Update Date: 08/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0244483196
  • Enrollment ID: I20130102000005

Medical Identifiers

Medical identifiers for Ms Bethany Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912217415NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical PA00560 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
South Shore HospitalSouth weymouth, MAHospital
Brigham And Women's HospitalBoston, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lifespan Physician Group Inc25674550821151
University Surgical Associates, Inc.4082503032105
South Shore Medical Center, Inc.3678487444174

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. Ms Bethany Nelson allows following entities to bill medicare on her 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 NameThe Miriam Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831362813
PECOS PAC ID: 6901796408
Enrollment ID: O20081016000420
Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407116643
PECOS PAC ID: 2567455082
Enrollment ID: O20121029000368

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. Ms Bethany Nelson 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
Ms Bethany Nelson, PA-C
Po Box 16149,
Rumford, RI 02916-0697

Ph: (401) 453-9625		Ms Bethany Nelson, PA-C
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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