Agnieszka Kendall, MD in South Kingstown, RI

Agnieszka Kendall, MD is a medicare enrolled "Pediatrics" physician in South Kingstown, Rhode Island. Her current practice location is 65 Village Square Dr Ste 101, South Kingstown, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 789-5924.

Agnieszka Kendall is licensed to practice in Rhode Island (license number MD15868) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104837780.

Contact Information

	Agnieszka Kendall, MD
	65 Village Square Dr Ste 101, South Kingstown, RI 02879-2292
	(401) 789-5924
	(401) 782-1770

Map and Direction

Physician's Profile

Full Name	Agnieszka Kendall
Gender	Female
Speciality	Pediatrics
Location	65 Village Square Dr Ste 101, South Kingstown, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104837780
Provider Enumeration Date: 08/10/2006
Last Update Date: 04/09/2024

Medicare PECOS Information:

PECOS PAC ID: 6103194956
Enrollment ID: I20170620000671

Medical Identifiers

Medical identifiers for Agnieszka Kendall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104837780	NPI	-	NPPES
1104837780	Medicaid	RI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD15868 (Rhode Island)	Primary

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. Agnieszka Kendall allows following entities to bill medicare on her behalf.

Entity Name	Coastal Medical Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780273540 PECOS PAC ID: 0345658316 Enrollment ID: O20210427001413

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. Agnieszka Kendall 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
Agnieszka Kendall, MD 10 Davol Sq Ste 400, Providence, RI 02903-4760 Ph: (401) 421-4000	Agnieszka Kendall, MD 65 Village Square Dr Ste 101, South Kingstown, RI 02879-2292 Ph: (401) 789-5924

Reviews and Comments

Pediatrics Doctors in South Kingstown, RI

Mrs. Mary Elizabeth Glasheen Murray, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 65 Village Square Dr, Suite 101, South Kingstown, RI 02879 Phone: 401-789-5924 Fax: 401-782-1770
Dr. Barbara Mcgee Coghlin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 65 Village Square Dr, Suite 101, South Kingstown, RI 02879 Phone: 401-789-5924 Fax: 401-782-1770
Mr. Robert Daniel Maltz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 65 Village Square Dr, Suite 101, South Kingstown, RI 02879 Phone: 401-789-5924 Fax: 401-782-1770
Prateek Bhattacharya, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 65 Village Square Dr, South Kingstown, RI 02879 Phone: 401-789-5924 Fax: 401-782-1770
Joy Fiorenzano Ziegler, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 65 Village Square Dr, Suite 101, South Kingstown, RI 02879 Phone: 401-789-5924 Fax: 401-782-1770

Agnieszka Kendall, MD - Medicare Pediatrics in South Kingstown, RI