Non-pharmacy Dispensing Site In Cranston Rhode Island

NPI list of 3 non-pharmacy dispensing site registered providers with a business address in Cranston, RI, all registered as organizations. A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

NPI Name Type Taxonomy Address Medicare PECOS
1174662738UNIVERSITY MEDICAL GROUP, INC.
UMG - PRIMARY CARE DIVISION
OrganizationNon-Pharmacy Dispensing Site1500 PONTIAC AVE
CRANSTON, RI 02920
(401) 464-8109
Non-Participating ProviderNO
1184767022COASTAL MEDICAL, INC.OrganizationNon-Pharmacy Dispensing Site761 PARK AVE
CRANSTON, RI 02910
(401) 467-3460
Non-Participating ProviderNO
1497897870RHODE ISLAND PRIMARY CARE, INC.
FAMILY HEALTH & SPORTS MEDICINE
OrganizationNon-Pharmacy Dispensing Site65 SOCKANOSSET CROSS RD SUITE 301
CRANSTON, RI 02920
(401) 943-6910
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.