Case Manager/care Coordinator In Cranston Rhode Island

NPI list of 6 case manager/care coordinator registered providers with a business address in Cranston, RI, all registered as individuals. A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

NPI Name Type Taxonomy Address Medicare PECOS
1154967545LAURIE ELLEN FARRELLIndividualCase Manager/Care Coordinator178 NORWOOD AVE
CRANSTON, RI 02905
(401) 921-1470
Non-Participating ProviderNO
1275666398CARLOS E SILVAIndividualCase Manager/Care Coordinator654 PONTIAC AVE
CRANSTON, RI 02910
(401) 499-6466
Non-Participating ProviderNO
1437427523CLAUDETTE MAY WALLACE-BOAHINIndividualCase Manager/Care Coordinator735 NEW LONDON AVE
CRANSTON, RI 02920
(401) 946-2020
Non-Participating ProviderNO
1508379710SILVIA MARIA BORGESIndividualCase Manager/Care Coordinator178 NORWOOD AVE
CRANSTON, RI 02905
(401) 921-1470
Non-Participating ProviderNO
1528192671ROSA GONZALEZIndividualCase Manager/Care Coordinator654 PONTIAC AVE
CRANSTON, RI 02910
(401) 453-4451
Non-Participating ProviderNO
1710011846MARIA GONZALEZIndividualCase Manager/Care Coordinator77 VALLETTE ST
CRANSTON, RI 02920
(401) 453-4491
Non-Participating ProviderNO

Medicare Participation

  • Participating providers are registered with Medicare and accept claims assignment. Taking claims assignment means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or co-payment amount for a visit or service.
  • Non-Participating providers do not agree to take Medicare claims assignment. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
  • Opt-out providers signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so.

What is PECOS?

PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals eligible to order or refer healthcare services for Medicare patients.