Leonard R Bertheau, DO - Medicare Family Practice in Pawtucket, RI

Leonard R Bertheau, DO is a medicare enrolled "Family Medicine" physician in Pawtucket, Rhode Island. He went to Oklahoma State University College Of Osteopathic Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Portland Adventist Medical Center and his current practice location is 111 Brewster St, Pawtucket, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 729-2304.

Leonard R Bertheau is licensed to practice in Rhode Island (license number DO01307) 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 1912079500.

Contact Information

Leonard R Bertheau, DO
111 Brewster St,
Pawtucket, RI 02860-4400
(401) 729-2304
(401) 729-2923

Map and Direction




Physician's Profile

Full NameLeonard R Bertheau
GenderMale
SpecialityFamily Practice
Experience20 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:
  • Leonard R Bertheau attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 2004
  NPI Data:
  • NPI Number: 1912079500
  • Provider Enumeration Date: 11/15/2006
  • Last Update Date: 07/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8729170402
  • Enrollment ID: I20080528000527

Medical Identifiers

Medical identifiers for Leonard R Bertheau such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912079500NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DO01307 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventist Health PortlandPortland, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Portland Adventist Medical Center3274908819242

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. Leonard R Bertheau allows following entities to bill medicare on his behalf.
Entity NamePortland Adventist Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215910302
PECOS PAC ID: 7012827876
Enrollment ID: O20040226000131
Entity NamePortland Adventist Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750091021
PECOS PAC ID: 3274908819
Enrollment ID: O20230412001327

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. Leonard R Bertheau 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
Leonard R Bertheau, DO
455 Toll Gate Rd,
Warwick, RI 02886-2759

Ph: (401) 273-0641
Leonard R Bertheau, DO
111 Brewster St,
Pawtucket, RI 02860-4400

Ph: (401) 729-2304

Reviews and Comments


Family Medicine Doctors in Pawtucket, RI

Nelson Mendes, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 381 Pawtucket Ave, Pawtucket, RI 02860
Phone: 401-965-4382    
Sara Elizabeth Holmes, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 111 Brewster St, Pawtucket, RI 02860
Phone: 530-448-1740    
Dr. Ashley Michelle Lakin, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 111 Brewster St, Fcc C, Pawtucket, RI 02860
Phone: 401-729-2769    Fax: 401-729-2772
Devon Paul Hughes, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 111 Brewster St, Pawtucket, RI 02860
Phone: 401-729-2894    
Pearl Igwe, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 111 Brewster St, Pawtucket, RI 02860
Phone: 401-729-2206    Fax: 401-921-6962
Marian Younge, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 111 Brewster St, Pawtucket, RI 02860
Phone: 401-729-2304    Fax: 401-729-2923
Dawn M Borschel, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 21 Division St, Pawtucket, RI 02860
Phone: 401-727-4800    Fax: 401-921-6924

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.