Mr Jack H Klie, MD in Providence, RI - Medicare Cardiovascular Disease (cardiology)

Mr Jack H Klie, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Providence, Rhode Island. He went to Tufts University School Of Medicine and graduated in 1966 and has 58 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Prospect Chartercare Sjhsri Llc and his current practice location is 1 Randall Sq, Suite 305, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 521-0700.

Mr Jack H Klie is licensed to practice in Rhode Island (license number 4568) 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 1992876080.

Contact Information

	Mr Jack H Klie, MD
	1 Randall Sq, Suite 305, Providence, RI 02904-2709
	(401) 521-0700
	(401) 521-0906

Map and Direction

Physician's Profile

Full Name	Mr Jack H Klie
Gender	Male
Speciality	Cardiovascular Disease (cardiology)
Experience	58 Years
Location	1 Randall Sq, Providence, Rhode Island
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jack H Klie attended and graduated from Tufts University School Of Medicine in 1966

NPI Data:

NPI Number: 1992876080
Provider Enumeration Date: 11/13/2006
Last Update Date: 03/13/2009

Medicare PECOS Information:

PECOS PAC ID: 6002718004
Enrollment ID: I20100812000651

Medical Identifiers

Medical identifiers for Mr Jack H Klie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992876080	NPI	-	NPPES
849	Other	RI	BLUE CROSS
9000849	Medicaid	RI
001218	Other	RI	BLUE CHIP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	4568 (Rhode Island)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Our Lady Of Fatima Hospital	North providence, RI	Hospital

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. Mr Jack H Klie allows following entities to bill medicare on his behalf.

Entity Name	Providence Cardiology Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790856888 PECOS PAC ID: 6800958166 Enrollment ID: O20081219000341

Entity Name	Prospect Chartercare Sjhsri Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578988572 PECOS PAC ID: 7315179314 Enrollment ID: O20140721001270

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. Mr Jack H Klie 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 Address	Practice Location Address
Mr Jack H Klie, MD 1 Randall Sq, Suite 305, Providence, RI 02904-2709 Ph: (401) 521-0700	Mr Jack H Klie, MD 1 Randall Sq, Suite 305, Providence, RI 02904-2709 Ph: (401) 521-0700

Reviews and Comments

Internal Medicine Doctors in Providence, RI

Christopher Donald Palmer, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 101 Dudley St, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7597
Martha Catherine Trimbur, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 245 Chapman St Ste 300, Providence, RI 02905 Phone: 401-444-4741 Fax: 401-444-4445
Karl Herman, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Fain Bldg., Providence, RI 02906 Phone: 401-793-4489 Fax: 401-793-4047
Muhammad Baig, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Fain Bldg, Providence, RI 02906 Phone: 401-793-4489 Fax: 401-793-4047
Gary M Katzman, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 208 Collyer Street, Suite 100, Providence, RI 02904 Phone: 401-793-7191 Fax: 401-793-7200
Thomas Fairweather Crain, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 401-793-4630
James Atkinson, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 401-793-4500

Mr Jack H Klie, MD - Medicare Cardiovascular Disease (cardiology) in Providence, RI