Kurush F Setna, MD - Medicare Internal Medicine in Pawtucket, RI

Kurush F Setna, MD is a medicare enrolled "Internal Medicine" physician in Pawtucket, Rhode Island. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Prospect Chartercare Rwmc, Llc and his current practice location is 111 Brewster St, Department Of Internal Medicine, Pawtucket, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 729-3100.

Kurush F Setna is licensed to practice in Rhode Island (license number MD11927) 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 1932183571.

Contact Information

Kurush F Setna, MD
111 Brewster St, Department Of Internal Medicine,
Pawtucket, RI 02860-4400
(401) 729-3100
(401) 729-2054

Map and Direction




Physician's Profile

Full NameKurush F Setna
GenderMale
SpecialityInternal Medicine
Experience27 Years
Location111 Brewster St, Pawtucket, 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:
  • Kurush F Setna graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1932183571
  • Provider Enumeration Date: 12/06/2005
  • Last Update Date: 10/24/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8729005822
  • Enrollment ID: I20051027001176

Medical Identifiers

Medical identifiers for Kurush F Setna such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932183571NPI-NPPES
110087942AMedicaidMA
7058043MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD11927 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Roger Williams Medical CenterProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prospect Chartercare Rwmc, Llc054749269650

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. Kurush F Setna allows following entities to bill medicare on his behalf.
Entity NameProspect Chartercare Rwmc, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285059287
PECOS PAC ID: 0547492696
Enrollment ID: O20140728001672

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. Kurush F Setna 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
Kurush F Setna, MD
111 Brewster St, Department Of Internal Medicine,
Pawtucket, RI 02860-4400

Ph: (401) 729-3100
Kurush F Setna, MD
111 Brewster St, Department Of Internal Medicine,
Pawtucket, RI 02860-4400

Ph: (401) 729-3100

Reviews and Comments


Internal Medicine Doctors in Pawtucket, RI

Mahmoud Mowafy, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 111 Brewster St, Pawtucket, RI 02860
Phone: 401-729-2258    Fax: 401-729-3343
Mriganka Singh, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 407 East Ave, Suite 110, Pawtucket, RI 02860
Phone: 401-728-7270    
Amber Gul, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 333 School St, Suite 210, Pawtucket, RI 02860
Phone: 401-726-9790    Fax: 401-728-8606
Dr. Madhavi Yerneni, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 407 East Ave, Suite 120, Pawtucket, RI 02860
Phone: 401-725-4700    Fax: 401-725-4740
Waseem Barham, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 111 Brewster St, Pawtucket, RI 02860
Phone: 401-729-2221    Fax: 401-729-2202
Jaleh Fallah, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 111 Brewster St, Pawtucket, RI 02860
Phone: 401-729-2258    Fax: 401-729-3343
Abraham Walusimbi, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 111 Brewster Street, Pawtucket, RI 02860
Phone: 401-729-2258    Fax: 401-729-3343

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.