Dr John Paul A Abroguena, MD in Providence, RI

Dr John Paul A Abroguena, MD is a medicare enrolled "Family Medicine" physician in Providence, Rhode Island. He graduated from medical school in 2006 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice The Providence Community Health Centers Inc. and his current practice location is 1 Randall Sq, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 274-6339.

Dr John Paul A Abroguena is licensed to practice in Rhode Island (license number MD14026) 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 1235361080.

Contact Information

	Dr John Paul A Abroguena, MD
	1 Randall Sq, Providence, RI 02904-2709
	(401) 274-6339
	(401) 453-6290

Map and Direction

Physician's Profile

Full Name	Dr John Paul A Abroguena
Gender	Male
Speciality	Family Practice
Experience	19 Years
Location	1 Randall Sq, Providence, Rhode Island
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr John Paul A Abroguena graduated from medical school in 2006

NPI Data:

NPI Number: 1235361080
Provider Enumeration Date: 08/12/2009
Last Update Date: 12/13/2023

Medicare PECOS Information:

PECOS PAC ID: 9931358389
Enrollment ID: I20121001000065

Medical Identifiers

Medical identifiers for Dr John Paul A Abroguena such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235361080	NPI	-	NPPES
MT 195469	Other	PA	LICENSE
MD14026	Other	RI	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MT 195469 (Pennsylvania)	Secondary
207Q00000X	Family Medicine	MD14026 (Rhode Island)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Providence Community Health Centers Inc.	9335050962	71

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 John Paul A Abroguena allows following entities to bill medicare on his behalf.

Entity Name	The Providence Community Health Centers Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053313593 PECOS PAC ID: 9335050962 Enrollment ID: O20040608000007

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 John Paul A Abroguena 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 John Paul A Abroguena, MD 375 Allens Ave, Providence, RI 02905-5010 Ph: (401) 444-0400	Dr John Paul A Abroguena, MD 1 Randall Sq, Providence, RI 02904-2709 Ph: (401) 274-6339

Reviews and Comments

Family Medicine Doctors in Providence, RI

Soraya S. P. Darwood, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 355 Prairie Ave, Providence, RI 02905 Phone: 401-444-0570 Fax: 401-444-0427
Scott Jusseaume, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 450 Brook St, Providence, RI 02906 Phone: 401-863-3953 Fax: 401-863-7953
Martin M. Miner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Fain Blding, Providence, RI 02906 Phone: 401-793-4636 Fax: 401-793-4639
Sheldon D. E. Malcolm, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 355 Prairie Ave, Providence, RI 02905 Phone: 401-444-0570 Fax: 401-444-0427
Dr. Stephanie Barak, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Dudley St, Providence, RI 02905 Phone: 401-453-7655
Chhavi Karir, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 355 Prairie Ave, Providence, RI 02905 Phone: 401-444-0570 Fax: 401-444-0427
Janet R. Encarnacion, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-415-9500 Fax: 401-415-9515

Dr John Paul A Abroguena, MD - Medicare Family Practice in Providence, RI