J Gary Abuelo, MD - Medicare Internal Medicine in Riverside, RI

J Gary Abuelo, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Riverside, Rhode Island. His current practice location is 375 Wampanoag Trl, Suite 302a, Riverside, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 649-4060.

J Gary Abuelo is licensed to practice in Rhode Island (license number MD04807) 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 1396797551.

Contact Information

J Gary Abuelo, MD
375 Wampanoag Trl, Suite 302a,
Riverside, RI 02915-2232
(401) 649-4060
(401) 649-4061

Map and Direction




Physician's Profile

Full NameJ Gary Abuelo
GenderMale
SpecialityInternal Medicine - Nephrology
Location375 Wampanoag Trl, Riverside, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396797551
  • Provider Enumeration Date: 05/16/2006
  • Last Update Date: 09/12/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8921082322
  • Enrollment ID: I20081105000534

Medical Identifiers

Medical identifiers for J Gary Abuelo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396797551NPI-NPPES
6173721MedicaidMA
9001946MedicaidRI
390006588OtherRIRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology MD04807 (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. J Gary Abuelo allows following entities to bill medicare on his behalf.
Entity NameBrown Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689626764
PECOS PAC ID: 0446159776
Enrollment ID: O20040219000354

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. J Gary Abuelo 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
J Gary Abuelo, MD
17 Virginia Ave, Suite 107,
Providence, RI 02905-4406

Ph: (401) 443-4992
J Gary Abuelo, MD
375 Wampanoag Trl, Suite 302a,
Riverside, RI 02915-2232

Ph: (401) 649-4060

Reviews and Comments


Internal Medicine Doctors in Riverside, RI

Tonslyn Toure, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 375 Wampanoag Trl, Riverside, RI 02915
Phone: 401-649-4090    Fax: 401-649-4091
Jonathan A Leviss, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 375 Wampanoag Trl, Riverside, RI 02915
Phone: 401-649-4020    Fax: 401-649-4021
Thomas D Denucci, M.D.
Nephrology
Medicare: Medicare Enrolled
Practice Location: 375 Wampanoag Trl, Suite 202a, Riverside, RI 02915
Phone: 401-649-4030    Fax: 401-649-4031
Kristen Tillquist, DO
Nephrology
Medicare: Medicare Enrolled
Practice Location: 375 Wampanoag Trl, Riverside, RI 02915
Phone: 401-649-4070    Fax: 401-649-4071
Reginald Y Gohh, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 375 Wampanoag Trl, Suite 302a, Riverside, RI 02915
Phone: 401-649-4060    Fax: 401-649-4061
Dr. Franklin D Mccool, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 375 Wampanoag Trl Ste 302b, Riverside, RI 02915
Phone: 401-649-4070    Fax: 401-649-4071
Dr. Lewena Maher, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 375 Wampanoag Trl, Riverside, RI 02915
Phone: 401-649-4040    Fax: 401-649-4041

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.