Pavinarmatha Ketheeswaran, MD in Providence, RI

Pavinarmatha Ketheeswaran, MD is a medicare enrolled "Family Medicine" physician in Providence, Rhode Island. Her current practice location is 40 Candace St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 444-0550.

Pavinarmatha Ketheeswaran is licensed to practice in Rhode Island (license number MD18615) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962066878.

Contact Information

	Pavinarmatha Ketheeswaran, MD
	40 Candace St, Providence, RI 02908-3747
	(401) 444-0550
	(401) 444-0425

Map and Direction

Physician's Profile

Full Name	Pavinarmatha Ketheeswaran
Gender	Female
Speciality	Family Medicine
Location	40 Candace St, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962066878
Provider Enumeration Date: 04/25/2019
Last Update Date: 12/13/2023

Medicare PECOS Information:

PECOS PAC ID: 9830574136
Enrollment ID: I20220922003675

Medical Identifiers

Medical identifiers for Pavinarmatha Ketheeswaran such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962066878	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	LP04636 (Rhode Island)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207Q00000X	Family Medicine	MD18615 (Rhode Island)	Primary

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. Pavinarmatha Ketheeswaran allows following entities to bill medicare on her behalf.

Entity Name	The Providence Community Health Centers Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053313593 PECOS PAC ID: 9335050962 Enrollment ID: O20040608000007

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. Pavinarmatha Ketheeswaran 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
Pavinarmatha Ketheeswaran, MD 375 Allens Ave, Providence, RI 02905-5010 Ph: (401) 444-0400	Pavinarmatha Ketheeswaran, MD 40 Candace St, Providence, RI 02908-3747 Ph: (401) 444-0550

Reviews and Comments

Family Medicine Doctors in Providence, RI

Soraya S. P. Darwood, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 355 Prairie Ave, Providence, RI 02905 Phone: 401-444-0570 Fax: 401-444-0427
Scott Jusseaume, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 450 Brook St, Providence, RI 02906 Phone: 401-863-3953 Fax: 401-863-7953
Martin M. Miner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Fain Blding, Providence, RI 02906 Phone: 401-793-4636 Fax: 401-793-4639
Sheldon D. E. Malcolm, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 355 Prairie Ave, Providence, RI 02905 Phone: 401-444-0570 Fax: 401-444-0427
Dr. Stephanie Barak, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Dudley St, Providence, RI 02905 Phone: 401-453-7655
Chhavi Karir, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 355 Prairie Ave, Providence, RI 02905 Phone: 401-444-0570 Fax: 401-444-0427
Janet R. Encarnacion, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-415-9500 Fax: 401-415-9515

Pavinarmatha Ketheeswaran, MD - Medicare Family Medicine in Providence, RI