Heritage Medical Associates Pc is a medicare enrolled "Internal Medicine" provider in Pawtucket, Rhode Island. Their current practice location is
131 Beechwood Ave, Pawtucket, Rhode Island. You can reach out to their office (for appointments etc.) via phone at
(401) 475-1999.
Heritage Medical Associates Pc is licensed to practice in Rhode Island (license number MD 10350) and it also participates in the medicare program. Heritage Medical Associates Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1003982547.
Healthcare Provider's Profile
Full Name | Heritage Medical Associates Pc |
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Type | Facility |
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Speciality | Internal Medicine |
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Location | 131 Beechwood Ave, Pawtucket, Rhode Island |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003982547
- Provider Enumeration Date: 11/27/2006
- Last Update Date: 10/13/2015
Medicare PECOS Information:
- PECOS PAC ID: 5597862748
- Enrollment ID: O20070522000720
Medical Identifiers
Medical identifiers for Heritage Medical Associates Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003982547 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | CT 0816 (Connecticut) | Secondary |
207R00000X | Internal Medicine | MD 10350 (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.
Heritage Medical Associates Pc acts as a billing entity for following providers:
Provider Name | Lauralyn Cannistra |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
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Provider Identifiers | NPI Number: 1467413898 PECOS PAC ID: 2567417876 Enrollment ID: I20050321000282 |
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Provider Name | John P Miskovsky |
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Provider Type | Practitioner - Internal Medicine |
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Provider Identifiers | NPI Number: 1497743330 PECOS PAC ID: 9234235250 Enrollment ID: I20070507000671 |
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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. Heritage Medical Associates Pc 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 |
Heritage Medical Associates Pc 131 Beechwood Ave, Pawtucket, RI 02860-5409 Ph: (401) 475-1999 | Heritage Medical Associates Pc 131 Beechwood Ave, Pawtucket, RI 02860-5409 Ph: (401) 475-1999 |
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