Douglas L Blecker, MD - Medicare Internal Medicine in Providence, RI

Douglas L Blecker, MD is a medicare enrolled "Internal Medicine" physician in Providence, Rhode Island. He went to Tufts University School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Affinity Physicians Llc. and his current practice location is 111 Plain St, 2nd Floor, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 444-1770.

Douglas L Blecker is licensed to practice in Rhode Island (license number MD11204) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538106240.

Contact Information

Douglas L Blecker, MD
111 Plain St, 2nd Floor,
Providence, RI 02903-4816
(401) 444-1770
(401) 444-3658

Map and Direction




Physician's Profile

Full NameDouglas L Blecker
GenderMale
SpecialityInternal Medicine
Experience25 Years
Location111 Plain St, Providence, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Douglas L Blecker attended and graduated from Tufts University School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1538106240
  • Provider Enumeration Date: 06/01/2006
  • Last Update Date: 05/29/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 4183608532
  • Enrollment ID: I20040615000446

Medical Identifiers

Medical identifiers for Douglas L Blecker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538106240NPI-NPPES
9025796MedicaidRI
P00044124OtherRIRAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD11204 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Women & Infants Hospital Of Rhode IslandProvidence, RIHospital
The Miriam HospitalProvidence, RIHospital
Kent County Memorial HospitalWarwick, RIHospital
Rhode Island HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Affinity Physicians Llc.0244413391616

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. Douglas L Blecker allows following entities to bill medicare on his behalf.
Entity NameAffinity Physicians Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184944662
PECOS PAC ID: 0244413391
Enrollment ID: O20110326000053

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. Douglas L Blecker 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
Douglas L Blecker, MD
Po Box 1358,
Providence, RI 02901-1358

Ph: () -
Douglas L Blecker, MD
111 Plain St, 2nd Floor,
Providence, RI 02903-4816

Ph: (401) 444-1770

Reviews and Comments


Internal Medicine Doctors in Providence, RI

Christopher Donald Palmer, DO
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Phone: 401-274-1122    Fax: 401-453-7597
Martha Catherine Trimbur, MD
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Karl Herman, M.D.
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Muhammad Baig, M.D.
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Gary M Katzman, MD
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Phone: 401-793-7191    Fax: 401-793-7200
Thomas Fairweather Crain, MD
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James Atkinson, MD
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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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