Dr Carl Winkler, MD - Medicare Surgery in Providence, RI

Dr Carl Winkler, MD is a medicare enrolled "Surgery - Surgical Oncology" physician in Providence, Rhode Island. His current practice location is 825 Chalkstone Ave, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (212) 523-4000.

Dr Carl Winkler is licensed to practice in Rhode Island (license number LP05112) 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 1063822161.

Contact Information

Dr Carl Winkler, MD
825 Chalkstone Ave,
Providence, RI 02908-4728
(212) 523-4000
Not Available

Map and Direction




Physician's Profile

Full NameDr Carl Winkler
GenderMale
SpecialitySurgery - Surgical Oncology
Location825 Chalkstone Ave, 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: 1063822161
  • Provider Enumeration Date: 04/29/2014
  • Last Update Date: 06/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6709120769
  • Enrollment ID: I20221005002004

Medical Identifiers

Medical identifiers for Dr Carl Winkler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063822161NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086X0206XSurgery - Surgical Oncology LP05112 (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 Carl Winkler allows following entities to bill medicare on his behalf.
Entity NameValley Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467815928
PECOS PAC ID: 3577857333
Enrollment ID: O20160802002824

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 Carl Winkler 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
Dr Carl Winkler, MD
32 Custom House St Unit 401,
Providence, RI 02903-2638

Ph: (413) 896-6751
Dr Carl Winkler, MD
825 Chalkstone Ave,
Providence, RI 02908-4728

Ph: (212) 523-4000

Reviews and Comments


Surgery Doctors in Providence, RI

Aileen Hsueh,
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Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-8450    Fax: 401-444-5088
Liudmila Muraveika,
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Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5180    Fax: 401-444-6681
Todd S Stafford, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 195 Collyer St Ste 302, Providence, RI 02904
Phone: 401-228-0633    Fax: 401-793-5171
Chibueze Nwaiwu, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5471    Fax: 401-444-4557
Dr. Robert Ira Wolf, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5180    
Abigail Case, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5180    
Roberto M Vera, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-8450    Fax: 401-444-5088

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.