John A Gelzhiser, MD - Medicare Internal Medicine in Warwick, RI

John A Gelzhiser, MD is a medicare enrolled "Internal Medicine" physician in Warwick, Rhode Island. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Affinity Physicians Llc. and his current practice location is 455 Toll Gate Rd, Warwick, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 737-7000.

John A Gelzhiser is licensed to practice in Rhode Island (license number PENDING) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013100759.

Contact Information

John A Gelzhiser, MD
455 Toll Gate Rd,
Warwick, RI 02886-2759
(401) 737-7000
(401) 736-4265

Map and Direction




Physician's Profile

Full NameJohn A Gelzhiser
GenderMale
SpecialityInternal Medicine
Experience20 Years
Location455 Toll Gate Rd, Warwick, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • John A Gelzhiser graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1013100759
  • Provider Enumeration Date: 08/27/2007
  • Last Update Date: 08/27/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5799874574
  • Enrollment ID: I20071130000567

Medical Identifiers

Medical identifiers for John A Gelzhiser such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013100759NPI-NPPES
PENDINGMedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine PENDING (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beacon Hospice, An Amedisys CompanyEast providence, RIHospice
Home & Hospice Care Of Rhode IslandProvidence, RIHospice
Vna Of Care New EnglandWarwick, RIHospice
Scalabrini VillaNorth kingstown, RINursing home
Brentwood Nursing HomeWarwick, RINursing home
West View Nursing And Rehabiliation CenterWest warwick, RINursing home
Sunny View Nursing Home IncWarwick, RINursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Affinity Physicians Llc.0244413391616

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. John A Gelzhiser allows following entities to bill medicare on his behalf.
Entity NameAffinity Physicians Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184944662
PECOS PAC ID: 0244413391
Enrollment ID: O20110326000053

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. John A Gelzhiser 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
John A Gelzhiser, MD
455 Toll Gate Rd,
Warwick, RI 02886-2759

Ph: (401) 737-7000
John A Gelzhiser, MD
455 Toll Gate Rd,
Warwick, RI 02886-2759

Ph: (401) 737-7000

Reviews and Comments


Internal Medicine Doctors in Warwick, RI

Dr. Sterling Leaf Malish, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 455 Toll Gate Rd, Warwick, RI 02886
Phone: 401-737-7000    
Dr. John David Lowney,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1030 Warwick Ave, Warwick, RI 02888
Phone: 401-467-6257    Fax: 401-785-1191
Dr. Christian Rene Herard, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 300 Tollgate Road, Suite 302, Warwick, RI 02886
Phone: 401-738-4014    Fax: 401-738-4090
Dr. Michael Seidler, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 125 Metro Center Blvd Ste 2000, Warwick, RI 02886
Phone: 401-921-9202    Fax: 401-921-9212
Mohammad Hashim Mustehsan,
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 455 Toll Gate Road, Warwick, RI 02886
Phone: 401-737-7010    Fax: 401-736-1973
Murli K Raman, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 455 Tollgate Rd, Brigham & Women's Cardiovascular Associates At Cne, Warwick, RI 02886
Phone: 401-681-4996    Fax: 401-921-6569

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.