Dr Lee Everett Edstrom, MD - Medicare Plastic Surgery in Providence, RI

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Dr Lee Everett Edstrom, MD is a medicare enrolled "Plastic Surgery" physician in Providence, Rhode Island. His current practice location is 2 Dudley, Suite 460, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 331-2303.

Dr Lee Everett Edstrom is licensed to practice in Rhode Island (license number 5949) 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 1669566303.

Contact Information

Dr Lee Everett Edstrom, MD
2 Dudley, Suite 460,
Providence, RI 02905
(401) 331-2303
(401) 331-4430

Map and Direction




Physician's Profile

Full NameDr Lee Everett Edstrom
GenderMale
SpecialityPlastic Surgery
Location2 Dudley, 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: 1669566303
  • Provider Enumeration Date: 10/03/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1759442536
  • Enrollment ID: I20081211000701

Medical Identifiers

Medical identifiers for Dr Lee Everett Edstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669566303NPI-NPPES
1300121OtherRIUNITED HEALTH
300043OtherRIBLUECHIP
050395339OtherRITAX ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 5949 (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 Lee Everett Edstrom allows following entities to bill medicare on his behalf.
Entity NameRhode Island Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902902364
PECOS PAC ID: 8921900044
Enrollment ID: O20051022000063

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 Lee Everett Edstrom 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 Lee Everett Edstrom, MD
2 Dudley, Suite 460,
Providence, RI 02905

Ph: (401) 331-2303		Dr Lee Everett Edstrom, MD
2 Dudley, Suite 460,
Providence, RI 02905

Ph: (401) 331-2303

Reviews and Comments


Plastic Surgery Doctors in Providence, RI

Rachel Aileen Sullivan, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 235 Plain St Ste 203, Providence, RI 02905
Phone: 401-649-4901    Fax: 401-649-4903
Damon Mcintire,
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-4188    Fax: 401-444-4863
James Weintrub, M.D.
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 34 Barnes St, Providence, RI 02906
Phone: 401-274-2744    
Amy Claire Kite, M.D.
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 235 Plain St Ste 203, Providence, RI 02905
Phone: 401-444-2701    
Dr. Solomon Swartz, MD
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-4188    
Jonathan P Brower, M.D.
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 235 Plain St Ste 202, Providence, RI 02905
Phone: 401-425-5232    Fax: 401-425-5334
Richard J Zienowicz, MD
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 2 Dudley St, Ste 380, Providence, RI 02905
Phone: 401-453-0120    Fax: 401-453-0198

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.