Dr Kathleen Ann O'heelan, DO - Medicare Family Practice in Providence, RI

Dr Kathleen Ann O'heelan, DO is a medicare enrolled "Family Medicine" physician in Providence, Rhode Island. She graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice The Providence Community Health Centers Inc. and her current practice location is 355 Prairie Ave, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 415-9000.

Dr Kathleen Ann O'heelan is licensed to practice in Rhode Island (license number DO00601) 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 1174513451.

Contact Information

Dr Kathleen Ann O'heelan, DO
355 Prairie Ave,
Providence, RI 02905-1928
(401) 415-9000
Not Available

Map and Direction




Physician's Profile

Full NameDr Kathleen Ann O'heelan
GenderFemale
SpecialityFamily Practice
Experience33 Years
Location355 Prairie Ave, 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 Kathleen Ann O'heelan graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1174513451
  • Provider Enumeration Date: 10/26/2005
  • Last Update Date: 12/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7810921285
  • Enrollment ID: I20050924000274

Medical Identifiers

Medical identifiers for Dr Kathleen Ann O'heelan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174513451NPI-NPPES
1174513451MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DO00601 (Rhode Island)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Providence Community Health Centers Inc.933505096271

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 Kathleen Ann O'heelan allows following entities to bill medicare on her behalf.
Entity NameThe Providence Community Health Centers Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 Kathleen Ann O'heelan 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 Kathleen Ann O'heelan, DO
375 Allens Ave,
Providence, RI 02905-5010

Ph: (401) 444-0400
Dr Kathleen Ann O'heelan, DO
355 Prairie Ave,
Providence, RI 02905-1928

Ph: (401) 415-9000

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

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.