Dr Carolina Cerezo, MD - Medicare Pediatric Medicine in Providence, RI

Dr Carolina Cerezo, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Providence, Rhode Island. She graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Rhode Island Hospital and her current practice location is 593 Eddy St, Division Of Pediatric Gastroenterology & Nutrition, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 444-2827.

Dr Carolina Cerezo is licensed to practice in Rhode Island (license number MD11132) 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 1073596011.

Contact Information

Dr Carolina Cerezo, MD
593 Eddy St, Division Of Pediatric Gastroenterology & Nutrition,
Providence, RI 02903-4923
(401) 444-2827
(401) 444-8748

Map and Direction




Physician's Profile

Full NameDr Carolina Cerezo
GenderFemale
SpecialityPediatric Medicine
Experience33 Years
Location593 Eddy St, 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:
  • Dr Carolina Cerezo graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1073596011
  • Provider Enumeration Date: 11/23/2005
  • Last Update Date: 04/23/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3577545623
  • Enrollment ID: I20040603000219

Medical Identifiers

Medical identifiers for Dr Carolina Cerezo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073596011NPI-NPPES
7010598MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0206XPediatrics - Pediatric Gastroenterology MD11132 (Rhode Island)Primary
2080P0206XPediatrics - Pediatric Gastroenterology 236679 (Massachusetts)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rhode Island Hospital8921900044307

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 Carolina Cerezo allows following entities to bill medicare on her behalf.
Entity NameRhode Island Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861420333
PECOS PAC ID: 8921900044
Enrollment ID: O20040121000169

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 Carolina Cerezo 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 Carolina Cerezo, MD
593 Eddy St, Division Of Pediatric Gastroenterology & Nutrition Mps,
Providence, RI 02903-4923

Ph: (401) 444-2827
Dr Carolina Cerezo, MD
593 Eddy St, Division Of Pediatric Gastroenterology & Nutrition,
Providence, RI 02903-4923

Ph: (401) 444-2827

Reviews and Comments


Pediatrics Doctors in Providence, RI

Sara Regan Ford, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1 Hoppin St, Coro Center Suite 304, Providence, RI 02903
Phone: 401-444-4612    Fax: 401-793-8831
Jennifer F Friedman, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Lower Level, Providence, RI 02903
Phone: 401-444-4471    Fax: 401-444-3870
Jason Shapiro, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-8450    Fax: 401-444-5088
Dr. Mikhaela Monty, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-4471    Fax: 401-444-7574
Dale Steele, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903
Phone: 401-854-2504    Fax: 401-854-2519
Chase B Samsel, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-8450    Fax: 401-444-5088
Adebimpe Olubusayo Adewusi, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Porter 005, Providence, RI 02903
Phone: 401-444-2877    Fax: 401-444-3804

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.