Andrew Stephen Kopecky, MD - Medicare Radiology in Providence, RI

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Andrew Stephen Kopecky, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Providence, Rhode Island. His current practice location is 593 Eddy St Bsmt Apc, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 444-8311.

Andrew Stephen Kopecky is licensed to practice in Rhode Island (license number MD19668) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528527645.

Contact Information

Andrew Stephen Kopecky, MD
593 Eddy St Bsmt Apc,
Providence, RI 02903-4923
(401) 444-8311
(401) 444-8301

Map and Direction




Physician's Profile

Full NameAndrew Stephen Kopecky
GenderMale
SpecialityRadiology - Radiation Oncology
Location593 Eddy St Bsmt Apc, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528527645
  • Provider Enumeration Date: 03/18/2019
  • Last Update Date: 06/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3779817309
  • Enrollment ID: I20240621003697

Medical Identifiers

Medical identifiers for Andrew Stephen Kopecky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528527645NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0001XRadiology - Radiation Oncology 284661 (Massachusetts)Secondary
2085R0001XRadiology - Radiation Oncology MD19668 (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. Andrew Stephen Kopecky allows following entities to bill medicare on his behalf.
Entity NameRhode Island Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396849782
PECOS PAC ID: 8921900044
Enrollment ID: O20050211000311
Entity NameRadiosurgery Center Of Rhode Island Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578726261
PECOS PAC ID: 0345393559
Enrollment ID: O20090806000017
Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Andrew Stephen Kopecky 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 AddressPractice Location Address
Andrew Stephen Kopecky, MD
117 Ellenfield St Ste 101,
Providence, RI 02905-4541

Ph: () -		Andrew Stephen Kopecky, MD
593 Eddy St Bsmt Apc,
Providence, RI 02903-4923

Ph: (401) 444-8311

Reviews and Comments


Radiology Doctors in Providence, RI

Lars Stangenberg, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2 Dudley St, Suite 470, Providence, RI 02905
Phone: 401-553-8318    Fax: 401-868-2307
Kara Lynne Leonard, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Rih Radiation Oncology, Providence, RI 02903
Phone: 401-444-8311    Fax: 401-444-5335
Michael Low Cardenas, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 50 Maude St, Providence, RI 02908
Phone: 401-456-2369    Fax: 401-456-6540
Earle O Assanah, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5174    
Glenn A Tung, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-4000    
Sarah-kim Shields, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Radiology, Providence, RI 02903
Phone: 401-444-2133    Fax: 401-444-5017
Sean O'neill, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5127    Fax: 401-444-3056

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.