Cathleen Ann Whelan, MD - Medicare Internal Medicine in Providence, RI

Cathleen Ann Whelan, MD is a medicare enrolled "Internal Medicine" physician in Providence, Rhode Island. She went to Js Weill Medical College, Cornell University and graduated in 1997 and has 27 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Brown Medicine and her current practice location is 164 Summit Ave, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 649-4050.

Cathleen Ann Whelan is licensed to practice in Rhode Island (license number MD 10375) 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 1992706600.

Contact Information

Cathleen Ann Whelan, MD
164 Summit Ave,
Providence, RI 02906-2853
(401) 649-4050
(401) 649-4051

Map and Direction




Physician's Profile

Full NameCathleen Ann Whelan
GenderFemale
SpecialityInternal Medicine
Experience27 Years
Location164 Summit Ave, Providence, Rhode Island
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Cathleen Ann Whelan attended and graduated from Js Weill Medical College, Cornell University in 1997
  NPI Data:
  • NPI Number: 1992706600
  • Provider Enumeration Date: 08/03/2005
  • Last Update Date: 09/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4789762923
  • Enrollment ID: I20080429000187

Medical Identifiers

Medical identifiers for Cathleen Ann Whelan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992706600NPI-NPPES
04-03194OtherRIUNITED HEALTH CARE
3820OtherRINEIGHBORHOOD HEALTH
406988OtherRIBCHIP
697702OtherRIHARVARD PILGRIM HEALTH
CW33179MedicaidRI
103750OtherRITUFTS HEALTH PLAN
0000022110OtherRIB/C
110217181OtherRIRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD 10375 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home Health CareWarwick, RIHome health agency
The Miriam HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Brown Medicine0446159776212

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. Cathleen Ann Whelan allows following entities to bill medicare on her behalf.
Entity NameBrown Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689626764
PECOS PAC ID: 0446159776
Enrollment ID: O20040219000354
Entity NameMedical Associates Of Ri, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538161161
PECOS PAC ID: 3375432040
Enrollment ID: O20040311000761
Entity NameThe Miriam Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598978744
PECOS PAC ID: 6901796408
Enrollment ID: O20170303000645

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. Cathleen Ann Whelan 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
Cathleen Ann Whelan, MD
110 Elm St Fl 3,
Providence, RI 02903-4626

Ph: (401) 443-4992
Cathleen Ann Whelan, MD
164 Summit Ave,
Providence, RI 02906-2853

Ph: (401) 649-4050

Reviews and Comments


Internal Medicine Doctors in Providence, RI

Christopher Donald Palmer, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1122    Fax: 401-453-7597
Martha Catherine Trimbur, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 245 Chapman St Ste 300, Providence, RI 02905
Phone: 401-444-4741    Fax: 401-444-4445
Karl Herman, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 164 Summit Ave, Fain Bldg., Providence, RI 02906
Phone: 401-793-4489    Fax: 401-793-4047
Muhammad Baig, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 164 Summit Ave, Fain Bldg, Providence, RI 02906
Phone: 401-793-4489    Fax: 401-793-4047
Gary M Katzman, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 208 Collyer Street, Suite 100, Providence, RI 02904
Phone: 401-793-7191    Fax: 401-793-7200
Thomas Fairweather Crain, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 164 Summit Ave, Providence, RI 02906
Phone: 401-793-4630    
James Atkinson, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 164 Summit Ave, Providence, RI 02906
Phone: 401-793-4500    

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).

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