Carol Peloquin, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Johnston, Rhode Island. She graduated from healthcare school in 2009 and has 15 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Southcoast Physicians Group Inc and her current practice location is
1516 Atwood Ave, Johnston, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 553-1000.
Carol Peloquin is licensed to practice in Massachusetts (license number LICSW125588) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194070508.
Healthcare Provider's Profile
| Full Name | Carol Peloquin |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 15 Years |
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| Location | 1516 Atwood Ave, Johnston, Rhode Island |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carol Peloquin graduated from medical school in 2009
NPI Data:
- NPI Number: 1194070508
- Provider Enumeration Date: 07/23/2012
- Last Update Date: 12/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 6305109976
- Enrollment ID: I20231207000977
Medical Identifiers
Medical identifiers for Carol Peloquin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194070508 | NPI | - | NPPES |
| GH57134 | Medicaid | RI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LICSW125588 (Massachusetts) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southcoast Physicians Group Inc | 0749171957 | 744 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carol Peloquin allows following entities to bill medicare on her behalf.
| Entity Name | Southcoast Physicians Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336137629
PECOS PAC ID: 0749171957
Enrollment ID: O20040920000138 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carol Peloquin is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Carol Peloquin, LICSW
1516 Atwood Ave,
Johnston, RI 02919-3223
Ph: (401) 553-1000 | Carol Peloquin, LICSW
1516 Atwood Ave,
Johnston, RI 02919-3223
Ph: (401) 553-1000 |
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