Family Medicine In Cranston Rhode Island

NPI list of 25 family medicine registered providers with a business address in Cranston, RI of which 6 are registered as organizations and 19 as individuals. Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

NPI Name Type Taxonomy Address Medicare PECOS
1003955923FALLON & HORAN DO INCOrganizationFamily Medicine1592 BROAD ST
CRANSTON, RI 02905
(401) 467-3350
Non-Participating ProviderNO
1053412767MARK ROSENBERGIndividualFamily Medicine725 RESERVOIR AVE SUITE 102
CRANSTON, RI 02910
(401) 943-6910
Accepts MedicareYES
1093888919JEANNE WREAN SWENIndividualFamily Medicine1660 BROAD ST
CRANSTON, RI 02905
(401) 784-6963
Accepts MedicareYES
1134113749JEFFREY WILSONIndividualFamily Medicine725 RESERVOIR AVE SUITE 102
CRANSTON, RI 02910
(401) 943-6910
Accepts MedicareYES
1134173206AMITY RUBEORIndividualFamily Medicine
(Sports Medicine)
65 SOCKANOSSET CROSS RD STE 301
CRANSTON, RI 02920
(401) 943-6910
Accepts MedicareYES
1215914171ROBERT PETER SARNIIndividualFamily Medicine725 RESERVOIR AVE SUITE 103
CRANSTON, RI 02910
(401) 944-1200
Non-Participating ProviderNO
1295265627KATHRYNE ANNE LEONARDIndividualFamily Medicine922 RESERVOIR AVE
CRANSTON, RI 02910
(401) 946-0884
Non-Participating ProviderNO
1396977823CRANSTON EAST MEDICAL CLINICOrganizationFamily Medicine
(Adult Medicine)
934 PARK AVE
CRANSTON, RI 02910
(401) 941-3166
Non-Participating ProviderNO
1437173572SUKANYA SOMASUNDARIndividualFamily Medicine1500 PONTIAC AVE
CRANSTON, RI 02920
(401) 944-4300
Accepts MedicareYES
1477511236MATTHEW TROWBRIDGE SALISBURYIndividualFamily Medicine1500 PONTIAC AVE
CRANSTON, RI 02920
(401) 344-4300
Accepts MedicareYES
1477655645KATHERINE LOUISE MAC LEANIndividualFamily Medicine780 RESERVOIR AVE SUITE 117
CRANSTON, RI 02910
(401) 709-4652
Non-Participating ProviderNO
1487641411DAVID G KERZERIndividualFamily Medicine1500 PONTIAC AVE
CRANSTON, RI 02920
(401) 944-4300
Accepts MedicareYES
1497165880JASON KERZERIndividualFamily Medicine1500 PONTIAC AVE STE 101
CRANSTON, RI 02920
(401) 944-4300
Accepts MedicareYES
1609861053FRANK HUGH FALLONIndividualFamily Medicine1592 BROAD ST
CRANSTON, RI 02905
(401) 467-3350
Non-Participating ProviderNO
1619183407JEAN PLOVER M D FAMILY PRACTICE INC
JEAN PLOVER MD
OrganizationFamily Medicine1660 BROAD ST
CRANSTON, RI 02905
(401) 784-8281
Non-Participating ProviderNO
1629181268DAVID J COIAIndividualFamily Medicine712 OAKLAWN AVE STE 201
CRANSTON, RI 02920
(401) 944-0044
Accepts MedicareYES
1639183619DEBORAH J. LISIIndividualFamily Medicine1090 CRANSTON ST
CRANSTON, RI 02920
(401) 943-1981
Non-Participating ProviderNO
1679567531JOHN FX HORANIndividualFamily Medicine1592 BROAD ST
CRANSTON, RI 02905
(401) 467-3350
Accepts MedicareYES
1679767453ANNE CAMILLE ALTEZ MONTESIndividualFamily Medicine1090 CRANSTON ST
CRANSTON, RI 02920
(401) 943-1981
Accepts MedicareYES
1700139854ROBERT P SARNI MD INCOrganizationFamily Medicine725 RESERVOIR AVE SUITE 103
CRANSTON, RI 02910
(401) 944-1200
Non-Participating ProviderNO
1720617111COIA COMPREHENSIVE PRIMARY CARE LLCOrganizationFamily Medicine712 OAKLAWN AVE STE 201
CRANSTON, RI 02920
(401) 944-0044
Non-Participating ProviderNO
1770512766MICHAEL JOSEPH HAYDENIndividualFamily Medicine712 OAKLAWN AVE SUITE 5
CRANSTON, RI 02920
(401) 942-2320
Accepts MedicareYES
1821082777ALBERT JOSEPH PUERINIIndividualFamily Medicine725 RESERVOIR AVE. SUITE 102
CRANSTON, RI 02910
(401) 943-6910
Non-Participating ProviderYES
1881625788REGINA PLOVERIndividualFamily Medicine1660 BROAD ST
CRANSTON, RI 02905
(401) 784-8281
Accepts MedicareYES
1952519340MICHAEL J HAYDEN, DO INCOrganizationFamily Medicine712 OAKLAWN AVE SUITE 5
CRANSTON, RI 02920
(401) 942-2320
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.