Dr Ricardo Rafael Correa Marquez, MD - Medicare Internal Medicine in East Providence, RI

Dr Ricardo Rafael Correa Marquez, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in East Providence, Rhode Island. His current practice location is 900 Warren Avenue, Suite 300, East Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (786) 246-5719.

Dr Ricardo Rafael Correa Marquez is licensed to practice in Maryland (license number D78143) 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 1053623538.

Contact Information

Dr Ricardo Rafael Correa Marquez, MD
900 Warren Avenue, Suite 300,
East Providence, RI 02914
(786) 246-5719
Not Available

Map and Direction




Physician's Profile

Full NameDr Ricardo Rafael Correa Marquez
GenderMale
SpecialityInternal Medicine - Endocrinology, Diabetes & Metabolism
Location900 Warren Avenue, East 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: 1053623538
  • Provider Enumeration Date: 07/13/2010
  • Last Update Date: 03/16/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4688983760
  • Enrollment ID: I20151013001105

Medical Identifiers

Medical identifiers for Dr Ricardo Rafael Correa Marquez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053623538NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism D78143 (Maryland)Primary
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism MD15160 (Rhode Island)Secondary

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 Ricardo Rafael Correa Marquez allows following entities to bill medicare on his behalf.
Entity NameRhode Island Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154537520
PECOS PAC ID: 8921900044
Enrollment ID: O20141017000105

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 Ricardo Rafael Correa Marquez 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 Ricardo Rafael Correa Marquez, MD
1 Evie Dr,
Warren, RI 02885

Ph: (786) 246-5719
Dr Ricardo Rafael Correa Marquez, MD
900 Warren Avenue, Suite 300,
East Providence, RI 02914

Ph: (786) 246-5719

Reviews and Comments


Internal Medicine Doctors in East Providence, RI

Matthew J Franco, MD
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 900 Warren Ave, Suite 401, East Providence, RI 02914
Phone: 800-508-4908    Fax: 401-228-6236
Mr. Michael F Gilson, MD
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 950 Warren Ave, 2nd Floor, East Providence, RI 02914
Phone: 401-606-1004    Fax: 401-606-1153
Dr. Christopher Song, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 950 Warren Ave, East Providence, RI 02914
Phone: 401-606-1004    Fax: 401-606-1153
May Min, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 950 Warren Ave Ste 301, East Providence, RI 02914
Phone: 401-606-4260    
Prerna Ganjoo, MD
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 318 Waterman Ave, East Providence, RI 02914
Phone: 401-438-5950    Fax: 401-435-6700
Mordecai Jeremiah Stolk, MD
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 318 Waterman Ave, East Providence, RI 02914
Phone: 401-438-5950    Fax: 401-435-6700

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.