JASON RAFFERTY M.D.
NPI 1104186089
Psychiatry & Neurology - Child & Adolescent Psychiatry in Woonsocket, RI

NPI Status: Active since May 24, 2012

Contact Information

450 CLINTON ST
WOONSOCKET, RI
ZIP 02895
Phone: (401) 767-4161
Fax: (401) 767-5441

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  • Individual
  • Male
  • Years of Experience 14
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JASON RAFFERTY

This page provides the complete NPI Profile along with additional information for Jason Rafferty, a provider established in Woonsocket, Rhode Island with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry and more than 14 years of experience. He graduated from Harvard Medical School in 2012. The healthcare provider is registered in the NPI registry with number 1104186089 assigned on May 2012. The practitioner's primary taxonomy code is 2084P0804X with license number MD15957 (RI). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1104186089
Provider Name
JASON RAFFERTY M.D.
Gender
Male
Entity Type
Individual
Location Address
450 CLINTON ST WOONSOCKET, RI 02895
Location Phone
(401) 767-4161
Location Fax
(401) 767-5441
Mailing Address
450 CLINTON ST WOONSOCKET, RI 02895
Mailing Phone
(401) 767-4161
Mailing Fax
(401) 767-5441
Medical School Name
HARVARD MEDICAL SCHOOL
Graduation Year
2012
Is Sole Proprietor?
Yes
Enumeration Date
05-24-2012
Last Update Date
07-21-2022
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Location Map

Secondary Locations

  • 593 Eddy St
    Providence, RI 02903
    (401) 444-3762

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Child & Adolescent Psychiatry

Taxonomy Code
2084P0804X
Type
Allopathic & Osteopathic Physicians
License No.
MD15957
License State
RI
Taxonomy Description
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

MD15957 (RI)
22084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

MD15957 (RI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • NH Local Choice HMO Bronze 8000 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Gold + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Gold 1400 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO HSA Bronze 6000 - HMO
  • NH Local Choice HMO Silver 3500 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Silver 5000 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Bronze 7500 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Gold 2000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Silver 6000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jason Rafferty is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jason Rafferty is enrolled in PECOS and is eligible to order or refer health care 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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9234358813

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20170928004257

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104186089, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 6 → 12 → 3 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 2 + 8 + 1 + 2 + 0 + 1 + 6 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1104186089.

Other Providers at the Same Location


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

Family Medicine
450 CLINTON ST
WOONSOCKET, RI 02895
Nurse Practitioner (Family)
450 CLINTON ST
WOONSOCKET, RI 02895
Pediatrics
450 CLINTON ST, THUNDERMIST HEALTH CENTER
WOONSOCKET, RI 02895
Family Medicine
450 CLINTON ST
WOONSOCKET, RI 02895
Nurse Practitioner (Adult Health)
450 CLINTON ST, THUNDERMIST HEALTH CENTER
WOONSOCKET, RI 02895
Counselor (Mental Health)
450 CLINTON ST, THUNDERMIST HEALTH CENTER
WOONSOCKET, RI 02895
Advanced Practice Midwife
450 CLINTON ST
WOONSOCKET, RI 02895
Midwife
450 CLINTON ST
WOONSOCKET, RI 02895
Registered Nurse (Diabetes Educator)
450 CLINTON ST
WOONSOCKET, RI 02895
Internal Medicine
450 CLINTON ST
WOONSOCKET, RI 02895
Pharmacy
450 CLINTON ST
WOONSOCKET, RI 02895
Registered Nurse (Community Health)
450 CLINTON ST, THUNDERMIST HEALTH CENTER
WOONSOCKET, RI 02895
Pediatrics
450 CLINTON ST
WOONSOCKET, RI 02895
Registered Nurse (Community Health)
450 CLINTON ST
WOONSOCKET, RI 02895
Social Worker (Clinical)
450 CLINTON ST
WOONSOCKET, RI 02895
Nurse Practitioner (Family)
450 CLINTON ST
WOONSOCKET, RI 02895
Internal Medicine
450 CLINTON ST
WOONSOCKET, RI 02895
Nurse Practitioner (Family)
450 CLINTON ST
WOONSOCKET, RI 02895
Nurse Practitioner (Psychiatric/Mental Health)
450 CLINTON ST
WOONSOCKET, RI 02895
Nurse Practitioner (Family)
450 CLINTON ST
WOONSOCKET, RI 02895

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104186089, enumerated as an "individual" on May 24, 2012.

The provider is located at 450 CLINTON ST WOONSOCKET, RI 02895 and the phone number is (401) 767-4161.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

The provider might be accepting Accepts: Harvard Pilgrim Health Care. Please consult your insurance carrier or call the provider to verify.