Dr Breton Roussel, MD in Providence, RI - Medicare Internal Medicine

Dr Breton Roussel, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Providence, Rhode Island. His current practice location is 33 Staniford Street, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 421-8800.

Dr Breton Roussel is licensed to practice in Rhode Island (license number MD16607) 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 1215385661.

Contact Information

	Dr Breton Roussel, MD
	33 Staniford Street, Providence, RI 02905-4923
	(401) 421-8800
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Breton Roussel
Gender	Male
Speciality	Internal Medicine - Gastroenterology
Location	33 Staniford Street, 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: 1215385661
Provider Enumeration Date: 05/26/2016
Last Update Date: 06/26/2023

Medicare PECOS Information:

PECOS PAC ID: 0547555880
Enrollment ID: I20190625001018

Medical Identifiers

Medical identifiers for Dr Breton Roussel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215385661	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD16607 (Rhode Island)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	MD16607 (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. Dr Breton Roussel allows following entities to bill medicare on his behalf.

Entity Name	Brown Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689626764 PECOS PAC ID: 0446159776 Enrollment ID: O20040219000354

Entity Name	University Gastroenterology, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386952612 PECOS PAC ID: 3678762804 Enrollment ID: O20110104000826

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. Dr Breton Roussel 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
Dr Breton Roussel, MD 33 Staniford St Ffl 2, Providence, RI 02905-3105 Ph: (401) 421-8800	Dr Breton Roussel, MD 33 Staniford Street, Providence, RI 02905-4923 Ph: (401) 421-8800

Reviews and Comments

Internal Medicine Doctors in Providence, RI

Christopher Donald Palmer, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 101 Dudley St, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7597
Martha Catherine Trimbur, MD Gastroenterology 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. Gastroenterology 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. Gastroenterology 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 Gastroenterology 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 Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 401-793-4630
James Atkinson, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 401-793-4500

Dr Breton Roussel, MD - Medicare Internal Medicine in Providence, RI