Lifespan Physician Group, Inc. - Medicare Primary Care in Warwick, RI

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Lifespan Physician Group, Inc. is a medicare enrolled primary clinic (Clinic/center - Urgent Care) in Warwick, Rhode Island. The current practice location for Lifespan Physician Group, Inc. is 17 Airport Rd, Warwick, Rhode Island. For appointments, you can reach them via phone at (401) 606-2520. The mailing address for Lifespan Physician Group, Inc. is 117 Ellenfield St Ste 101, Providence, Rhode Island and phone number is (401) 444-6779.

Lifespan Physician Group, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1285191163. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (401) 606-2520.

Contact Information

Lifespan Physician Group, Inc.
17 Airport Rd
Warwick
RI 02889-1001
(401) 606-2520
(401) 384-7190

Map and Direction


Primary Care Clinic Profile

Full NameLifespan Physician Group, Inc.
SpecialityClinic/Center
Location17 Airport Rd, Warwick, Rhode Island
Authorized Official Name and PositionPeter K Markell (EVP & CFO)
Authorized Official Contact4014447914
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lifespan Physician Group, Inc.
117 Ellenfield St Ste 101
Providence
RI 02905-4513

Ph: (401) 444-6779		Lifespan Physician Group, Inc.
17 Airport Rd
Warwick
RI 02889-1001

Ph: (401) 606-2520

NPI Details:

NPI Number1285191163
Provider Enumeration Date02/27/2019
Last Update Date09/18/2024

Medicare PECOS Information:

Medicare PECOS PAC ID2567455082
Medicare Enrollment IDO20190603001535

Medical Identifiers

Medical identifiers for Lifespan Physician Group, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285191163NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Secondary
261QU0200XClinic/center - Urgent Care (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lifespan Physician Group, Inc. acts as a billing entity for following providers:
Provider NameKathleen Parker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770632523
PECOS PAC ID: 4688771116
Enrollment ID: I20070517000663
Provider NameOlivier M Gherardi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558324970
PECOS PAC ID: 3779666870
Enrollment ID: I20080213000190
Provider NameSusan Virginia Clemens
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972566396
PECOS PAC ID: 1850478371
Enrollment ID: I20080408000909
Provider NameRichard V Morgera
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801934310
PECOS PAC ID: 9133266455
Enrollment ID: I20110217000163
Provider NameAlison Elizabeth Wilkens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598266538
PECOS PAC ID: 1759643802
Enrollment ID: I20180329001344
Provider NameNetesha Renee Reid
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033514971
PECOS PAC ID: 7315277613
Enrollment ID: I20190930002843
Provider NameMeaghan E Bechard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932743929
PECOS PAC ID: 8820423973
Enrollment ID: I20200117000525
Provider NameJeremy Daniel Dibiasio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114533783
PECOS PAC ID: 9739578097
Enrollment ID: I20211109000256
Provider NameAimee Elizabeth Molloy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235723263
PECOS PAC ID: 4981083797
Enrollment ID: I20220624002422
Provider NameElizabeth Jean Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558953687
PECOS PAC ID: 0941684708
Enrollment ID: I20220829002873
Provider NameJennifer Marie Silvia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962089524
PECOS PAC ID: 4082099700
Enrollment ID: I20220916001163
Provider NameMadeline Elizabeth Longo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902533441
PECOS PAC ID: 0547632416
Enrollment ID: I20230202003123
Provider NameMarcela Barros
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699495242
PECOS PAC ID: 2567836570
Enrollment ID: I20230314002210
Provider NameAmanda Dorothy Tiburcio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922751387
PECOS PAC ID: 1557722485
Enrollment ID: I20230725002634
Provider NameDanielle Goldman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982226536
PECOS PAC ID: 5890190458
Enrollment ID: I20231113000285
Provider NameKatherine Pierce
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235470394
PECOS PAC ID: 1254780760
Enrollment ID: I20231208003382
Provider NameJasmin Rojas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609642065
PECOS PAC ID: 5496190845
Enrollment ID: I20240226002239
Provider NameAlexis Jibril
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427673458
PECOS PAC ID: 9537583091
Enrollment ID: I20240911002338
Provider NameNaomi Stasia Siwy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326615246
PECOS PAC ID: 1456755834
Enrollment ID: I20240911002447

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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.