Pieter Storm De Klerk, MD - Medicare Internal Medicine in Providence, RI

Pieter Storm De Klerk, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Providence, Rhode Island. His current practice location is 593 Eddy St, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 444-5891.

Pieter Storm De Klerk is licensed to practice in Rhode Island (license number MD17152) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1730612490.

Contact Information

Pieter Storm De Klerk, MD
593 Eddy St,
Providence, RI 02903-4923
(401) 444-5891
(401) 444-8158

Map and Direction




Physician's Profile

Full NamePieter Storm De Klerk
GenderMale
SpecialityInternal Medicine - Interventional Cardiology
Location593 Eddy St, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730612490
  • Provider Enumeration Date: 04/09/2017
  • Last Update Date: 04/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5597207258
  • Enrollment ID: I20240610001304

Medical Identifiers

Medical identifiers for Pieter Storm De Klerk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730612490NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease MD17152 (Rhode Island)Secondary
207RI0011XInternal Medicine - Interventional Cardiology MD17152 (Rhode Island)Primary

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. Pieter Storm De Klerk 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
Pieter Storm De Klerk, MD
117 Ellenfield St Ste 101,
Providence, RI 02905-4541

Ph: () -
Pieter Storm De Klerk, MD
593 Eddy St,
Providence, RI 02903-4923

Ph: (401) 444-5891

Reviews and Comments


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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.

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