Karen Mcgoldrick, MD - Medicare Obstetrics/gynecology in East Providence, RI

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Karen Mcgoldrick, MD is a medicare enrolled "Obstetrics & Gynecology" physician in East Providence, Rhode Island. She went to Warren Alpert Medical School Of Brown University and graduated in 1980 and has 44 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Southern New England Healthcare For Women, Llc and her current practice location is 450 Veterans Memorial Pkwy, East Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 434-7853.

Karen Mcgoldrick is licensed to practice in Rhode Island (license number MD5870) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154341212.

Contact Information

Karen Mcgoldrick, MD
450 Veterans Memorial Pkwy,
East Providence, RI 02914-5300
(401) 434-7853
Not Available

Map and Direction




Physician's Profile

Full NameKaren Mcgoldrick
GenderFemale
SpecialityObstetrics/gynecology
Experience44 Years
Location450 Veterans Memorial Pkwy, East Providence, Rhode Island
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Karen Mcgoldrick attended and graduated from Warren Alpert Medical School Of Brown University in 1980
  NPI Data:
  • NPI Number: 1154341212
  • Provider Enumeration Date: 07/20/2006
  • Last Update Date: 03/31/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1951203777
  • Enrollment ID: I20040122000886

Medical Identifiers

Medical identifiers for Karen Mcgoldrick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154341212NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MD5870 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Women & Infants Hospital Of Rhode IslandProvidence, RIHospital
Kent County Memorial HospitalWarwick, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern New England Healthcare For Women, Llc004248664929

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. Karen Mcgoldrick allows following entities to bill medicare on her behalf.
Entity NameAffinity Physicians Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184944662
PECOS PAC ID: 0244413391
Enrollment ID: O20110326000053
Entity NameSouthern New England Healthcare For Women, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699058826
PECOS PAC ID: 0042486649
Enrollment ID: O20120103000614
Entity NameTollgate Obstetrics And Gynecology Midwifery Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528403847
PECOS PAC ID: 6204076896
Enrollment ID: O20130702000374

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. Karen Mcgoldrick 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
Karen Mcgoldrick, MD
450 Veterans Memorial Pkwy,
East Providence, RI 02914-5300

Ph: (401) 751-5111		Karen Mcgoldrick, MD
450 Veterans Memorial Pkwy,
East Providence, RI 02914-5300

Ph: (401) 434-7853

Reviews and Comments


Obstetrics & Gynecology Doctors in East Providence, RI

Dr. Marc Alexander Jaffe, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 38 Amaral St, East Providence, RI 02915
Phone: 401-438-3300    Fax: 401-434-5313
Harris Galkin, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 450 Veterans Memorial Pkwy, East Providence, RI 02914
Phone: 401-434-7853    
Santina Siena, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 450 Veterans Memorial Pkwy, East Providence, RI 02914
Phone: 401-434-7747    Fax: 401-434-7891
Marguerite Vigliani, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 450 Veterans Memorial Pkwy, Suite 101, East Providence, RI 02914
Phone: 401-438-1748    

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.