DR. STEPHANIE P FAVREAU M.D. NPI 1003044256

Internal Medicine in Warwick, RI

NPI 1003044256 Individual Female Years of Experience 13 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment

About STEPHANIE FAVREAU

Stephanie Favreau is an internal medicine provider established in Warwick, Rhode Island and her medical specialization is internal medicine with more than 13 years of experience. She graduated from Warren Alpert Medical School Of Brown University in 2009. The NPI number of Stephanie Favreau is 1003044256 and was assigned on June 2009. The practitioner's primary taxonomy code is 207R00000X with license number MD14368 (RI). The provider is registered as an individual and her NPI record was last updated one year ago.

An internist like Dr. Stephanie P Favreau M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Stephanie Favreau is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Stephanie Favreau is registered with Medicare and accepts claims assignment, this 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 copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with The Miriam Hospital, Kent County Memorial Hospital and Rhode Island Hospital.

NPI

1003044256

Provider NameDR. STEPHANIE P FAVREAU M.D.
Provider Location Address400 BALD HILL RD SUITE 520 WARWICK, RI 02886
Provider Mailing Address400 BALD HILL RD SUITE 520 WARWICK, RI 02886
GenderFemale
NPI Entity TypeIndividual
Medical School NameWARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduation Year2009
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-26-2009
Last Update Date10-19-2020


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.MD14368
License StateRI
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

DR. STEPHANIE P FAVREAU M.D.
400 BALD HILL RD
SUITE 520
WARWICK, RI
ZIP 02886
Phone: (401) 793-8520
Fax: (401) 793-8527

Get Directions


Mailing Address

DR. STEPHANIE P FAVREAU M.D.
400 BALD HILL RD
SUITE 520
WARWICK, RI
ZIP 02886
Phone: (401) 793-8520
Fax: (401) 793-8527



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID4880813617
PECOS Enrollment IDI20140910000449
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 49Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 45Hemoglobin A1C level (HCPCS:83036)
  • 22Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 14Administration of influenza virus vaccine (HCPCS:G0008)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Stephanie Favreau is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
THE MIRIAM HOSPITAL164 SUMMIT AVENUE
PROVIDENCE, RI 2906
(401) 793-2500Acute Care Hospitals410012
KENT COUNTY MEMORIAL HOSPITAL455 TOLL GATE RD
WARWICK, RI 2886
(401) 737-7010Acute Care Hospitals410009
RHODE ISLAND HOSPITAL593 EDDY STREET
PROVIDENCE, RI 2903
(401) 444-4000Acute Care Hospitals410007

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1208000000XAllopathic & Osteopathic PhysiciansPediatricsMD14368RINo

Taxonomy Description: 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.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093711830 DAVID ROBERT KATZEN M.D.
Individual
Allergy & Immunology (Allergy)400 BALD HILL RD STE 527
WARWICK, RI 02886
(401) 739-5901
1083610836 ROBERT G ELLISON M.D.
Individual
Internal Medicine400 BALD HILL RD STE 520
WARWICK, RI 02886
(401) 793-8520
1508862350 NEAL J GALINKO M.D.
Individual
Internal Medicine400 BALD HILL RD STE 520
WARWICK, RI 02886
(401) 793-8520
1023019403MISS TAMI R MENARD PA-C
Individual
Physician Assistant (Medical)400 BALD HILL RD SUITE 526
WARWICK, RI 02886
(401) 738-4323
1215920327FOOT & ANKLE INSTITUTE OF NEW
Organization
Podiatrist400 BALD HILL RD STE 503
WARWICK, RI 02886
(401) 738-7750
1649234451 ROBERT WILHELM MD
Individual
Family Medicine400 BALD HILL RD
WARWICK, RI 02886
(401) 737-4420
1639185689 BETH GERFIN MARCACCIO M.D.
Individual
Obstetrics & Gynecology (Gynecology)400 BALD HILL RD SUITE 508
WARWICK, RI 02886
(401) 384-6444
1033122098MR. PETER J REILLY NP
Individual
Nurse Practitioner400 BALD HILL RD SUITE 526
WARWICK, RI 02886
(401) 738-4323
1609974070 JENNIFER L. DAVEY PA
Individual
Family Medicine400 BALD HILL RD
WARWICK, RI 02886
(401) 737-4420
1922108901DR. STEVE TU D.O.
Individual
Ophthalmology400 BALD HILL RD SUITE 525
WARWICK, RI 02886
(401) 737-7646
1194895102MRS. CATHERINE RACHEL GERVAIS RN, BSN, CDOE
Individual
Registered Nurse (Diabetes Educator)400 BALD HILL RD SUITE 530
WARWICK, RI 02886
(401) 737-9091
1821157454 IRVING THOMAS GILSON M.D.
Individual
Internal Medicine (Cardiovascular Disease)400 BALD HILL RD SUITE 530
WARWICK, RI 02886
(401) 737-9091
1992852073OCEAN STATE PHYSICAL THERAPY, INC.
Organization
Physical Therapist400 BALD HILL RD SUITE 502
WARWICK, RI 02886
(401) 737-3934
1972651123DR. AIDA MARI POGACAR D.M.D
Individual
Dentist (General Practice)400 BALD HILL RD SUIT 522
WARWICK, RI 02886
(401) 738-3606
1902955974MR. SERGIO DE CONNO LICSW
Individual
Social Worker400 BALD HILL RD SUITE 510
WARWICK, RI 02886
(401) 732-3637
1386789345MRS. ELIZABETH ANN TEGAN M.S.R.N.C.S.
Individual
Clinical Nurse Specialist (Psychiatric/Mental Health)400 BALD HILL RD SUITE 510
WARWICK, RI 02886
(401) 732-3637
1194857383DR. DAVID J O'LAUGHLIN DDS
Individual
Dentist (General Practice)400 BALD HILL RD SUITE 522
WARWICK, RI 02886
(401) 738-3606
1164554309 LEON GERALD DANISH DDS
Individual
Dentist (General Practice)400 BALD HILL RD SUITE 522
WARWICK, RI 02886
(401) 738-3606
1467575746 JOSEPH EDWARD FAULKNER LICSW
Individual
Social Worker (Clinical)400 BALD HILL RD
WARWICK, RI 02886
(401) 349-3131
1346363629 LISA MANSFIELD LICSW
Individual
Social Worker (Clinical)400 BALD HILL RD
WARWICK, RI 02886
(401) 349-3131

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.