Alexandra Irene Gundersen, MD in Providence, RI - Medicare Physical Medicine & Rehabilitation

Alexandra Irene Gundersen, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Providence, Rhode Island. Her current practice location is 593 Eddy St Ste 7a, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 444-8732.

Alexandra Irene Gundersen is licensed to practice in Rhode Island (license number MD18517) 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 1295264091.

Contact Information

	Alexandra Irene Gundersen, MD
	593 Eddy St Ste 7a, Providence, RI 02903-4923
	(401) 444-8732
	Not Available

Map and Direction

Physician's Profile

Full Name	Alexandra Irene Gundersen
Gender	Female
Speciality	Physical Medicine & Rehabilitation
Location	593 Eddy St Ste 7a, Providence, 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: 1295264091
Provider Enumeration Date: 06/06/2017
Last Update Date: 07/15/2022

Medicare PECOS Information:

PECOS PAC ID: 7517236078
Enrollment ID: I20220802002247

Medical Identifiers

Medical identifiers for Alexandra Irene Gundersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295264091	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	LP03929 (Rhode Island)	Secondary
208100000X	Physical Medicine & Rehabilitation	275066 (Massachusetts)	Secondary
208100000X	Physical Medicine & Rehabilitation	MD18517 (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. Alexandra Irene Gundersen allows following entities to bill medicare on her behalf.

Entity Name	Rhode Island Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396849782 PECOS PAC ID: 8921900044 Enrollment ID: O20050211000311

Entity Name	Lifespan Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368

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. Alexandra Irene Gundersen 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
Alexandra Irene Gundersen, MD 300 1st Ave, Charlestown, MA 02129-3109 Ph: (617) 952-5000	Alexandra Irene Gundersen, MD 593 Eddy St Ste 7a, Providence, RI 02903-4923 Ph: (401) 444-8732

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Providence, RI

Amy Ludovici, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1 Cunningham Sq, Providence, RI 02918 Phone: 607-222-0708
Paul Gauvin, P.T. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 790 N Main St, Providence, RI 02904 Phone: 401-272-3600
Dr. Jon A Mukand, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 21 Peace St, Providence, RI 02907 Phone: 401-456-4409
Dr. Claudia Ann Wheeler, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 765 Allens Ave, Suite 110, Providence, RI 02905 Phone: 401-606-4150 Fax: 401-270-4681
Dr. Gabriel Abella, M. D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 455 Douglas Ave, Providence, RI 02908 Phone: 201-654-6397
Dr. Jerrold N Rosenberg, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 827 N Main St, Suite 6, Providence, RI 02904 Phone: 401-453-5030 Fax: 401-453-5033
Lauren Marie Hall, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 765 Allens Ave Ste 104, Providence, RI 02905 Phone: 401-606-8080

Alexandra Irene Gundersen, MD - Medicare Physical Medicine & Rehabilitation in Providence, RI