Pediatrics In Warwick Rhode Island

NPI list of 26 pediatrics registered providers with a business address in Warwick, RI of which 2 are registered as organizations and 24 as individuals. A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

NPI Name Type Taxonomy Address Medicare PECOS
1003916875RAYMOND PAUL ZARLENGOIndividualPediatrics176 TOLL GATE RD SUITE 101
WARWICK, RI 02886
(401) 737-9240
Non-Participating ProviderYES
1023125721GERALD EXILIndividualPediatrics
(Neurodevelopmental Disabilities)
215 TOLL GATE ROAD SUITE 108
WARWICK, RI 02886
(401) 737-7701
Non-Participating ProviderNO
1063765196KATHLEEN ANN CALENDAIndividualPediatrics
(Pediatric Gastroenterology)
185 JOSEPH CT
WARWICK, RI 02886
(401) 255-8292
Non-Participating ProviderNO
1184766008TOLL GATE PEDIATRICS, INC.OrganizationPediatrics215 TOLL GATE RD SUITE 104
WARWICK, RI 02886
(401) 737-9240
Non-Participating ProviderNO
1215913215PAMELA JO SAN ANTONIOIndividualPediatrics161 AIRPORT ROAD
WARWICK, RI 02889
(401) 737-4282
Non-Participating ProviderNO
1235307026HALA CHAABANIndividualPediatrics455 TOLL GATE RD
WARWICK, RI 02886
(401) 737-7000
Non-Participating ProviderYES
1285637678KATHERINE CASTREEIndividualPediatrics300 CENTERVILLE RD THE SUMMIT EAST, SUITE 110
WARWICK, RI 02886
(401) 615-2299
Non-Participating ProviderNO
1316083330DAVID J. HUNTIndividualPediatrics176 TOLL GATE RD SUITE 101
WARWICK, RI 02886
(401) 737-9240
Accepts MedicareYES
1316923352JOHNNY CHAVARRIAIndividualPediatrics161 AIRPORT RD
WARWICK, RI 02889
(401) 737-4282
Non-Participating ProviderNO
1356321483MARJORIE S CARGESIndividualPediatrics300 CENTERVILLE RD THE SUMMIT EAST, SUITE 110
WARWICK, RI 02886
(401) 615-2299
Non-Participating ProviderYES
1386697357ANTHONY J ALARIOIndividualPediatrics300 CENTERVILLE RD STE 110
WARWICK, RI 02886
(401) 615-2299
Non-Participating ProviderYES
1407835614GAIL R BROWNIndividualPediatrics315 COMMONWEALTH AVE
WARWICK, RI 02886
(401) 732-5437
Non-Participating ProviderNO
1417014804ALLYSON D. HICKSIndividualPediatrics215 TOLL GATE RD SUITE 104
WARWICK, RI 02886
(401) 737-9240
Non-Participating ProviderNO
1437223195LEENA DAVISIndividualPediatrics300 TOLLGATE RD
WARWICK, RI 02886
(401) 732-8700
Non-Participating ProviderNO
1548263494HOWARD MINTZIndividualPediatrics300 CENTERVILLE RD THE SUMMIT EAST, SUITE 110
WARWICK, RI 02886
(401) 615-2299
Non-Participating ProviderNO
1568441699CAROLE ALICE LENGYELIndividualPediatrics300 CENTERVILLE RD THE SUMMIT EAST, SUITE 110
WARWICK, RI 02886
(401) 615-2299
Non-Participating ProviderYES
1578857611LAURA DAWSONIndividualPediatrics176 TOLL GATE RD SUITE 101
WARWICK, RI 02886
(401) 737-9240
Non-Participating ProviderYES
1649206277BALD HILL PEDIATRICSOrganizationPediatrics400 BALD HILL RD SUITE 501
WARWICK, RI 02886
(401) 732-5437
Non-Participating ProviderNO
1720190267ALLA MATSIEVSKAYAIndividualPediatrics430 TOLL GATE RD
WARWICK, RI 02886
(401) 737-4343
Non-Participating ProviderNO
1730155482ROGER NILES MENNILLOIndividualPediatrics176 TOLL GATE RD SUITE 101
WARWICK, RI 02886
(401) 737-9270
Accepts MedicareYES
1730366782KATHERINE LOWE WEINGARTNERIndividualPediatrics300 CENTERVILLE RD STE 110
WARWICK, RI 02886
(401) 615-2299
Non-Participating ProviderYES
1740363043CELIA F REYESIndividualPediatrics469 CENTERVILLE RD
WARWICK, RI 02886
(401) 889-2300
Non-Participating ProviderNO
1902890197AILIS CLYNEIndividualPediatrics300 CENTERVILLE RD THE SUMMIT EAST, SUITE 110
WARWICK, RI 02886
(401) 615-2299
Non-Participating ProviderYES
1922046218ROMI A WEBSTERIndividualPediatrics300 CENTERVILLE RD STE 110
WARWICK, RI 02886
(401) 615-2299
Non-Participating ProviderYES
1962570648MAHA M. AMMARIndividualPediatrics176 TOLL GATE RD SUITE 101
WARWICK, RI 02886
(401) 737-9240
Non-Participating ProviderNO
1992152219LIZA CANTORIndividualPediatrics300 CENTERVILLE RD # 110
WARWICK, RI 02886
(401) 615-2299
Accepts MedicareYES

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.