Dr Leticia Dwomor, MD in Providence, RI - Medicare Obstetrics & Gynecology

Dr Leticia Dwomor, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Providence, Rhode Island. Her current practice location is 148 W River St Ste 8, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 606-3000.

Dr Leticia Dwomor is licensed to practice in Rhode Island (license number LP04390) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053805952.

Contact Information

	Dr Leticia Dwomor, MD
	148 W River St Ste 8, Providence, RI 02904-2615
	(401) 606-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Leticia Dwomor
Gender	Female
Speciality	Obstetrics & Gynecology
Location	148 W River St Ste 8, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053805952
Provider Enumeration Date: 06/14/2018
Last Update Date: 08/09/2022

Medicare PECOS Information:

PECOS PAC ID: 1951729300
Enrollment ID: I20220830004317

Medical Identifiers

Medical identifiers for Dr Leticia Dwomor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053805952	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	LP04390 (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 Leticia Dwomor allows following entities to bill medicare on her behalf.

Entity Name	Lifespan Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368

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 Leticia Dwomor 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 Leticia Dwomor, MD 148 W River St Ste 8, Providence, RI 02904-2615 Ph: () -	Dr Leticia Dwomor, MD 148 W River St Ste 8, Providence, RI 02904-2615 Ph: (401) 606-3000

Reviews and Comments

Obstetrics & Gynecology Doctors in Providence, RI

Donald Ramos, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 695 Eddy St, Providence, RI 02903 Phone: 401-272-1550 Fax: 401-421-8792
Brittany S Hampton, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 Dudley St, Providence, RI 02905 Phone: 401-274-1100
Dr. Jane R. Sharp, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 297 Promenade St, Providence, RI 02908 Phone: 401-490-6464
Dr. Katharine D Wenstrom, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 101 Dudley Street, 3rd Floor, Women & Infants Hospital Of Rhode Island/mfm Division, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7622
Rebecca J Crichton, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 Dudley St, Providence, RI 02905 Phone: 401-274-1122
Heather A Smith, MD, MPH Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 Dudley St, Providence, RI 02905 Phone: 401-274-1122
Meena Theva, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 Dudley St, Providence, RI 02905 Phone: 401-274-1122

Dr Leticia Dwomor, MD - Medicare Obstetrics & Gynecology in Providence, RI