Rachael Erin Prendergast, MSN, RN, PNP-AC is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Providence, Rhode Island. Her current practice location is
593 Eddy St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 444-7396.
Rachael Erin Prendergast is licensed to practice in Rhode Island (license number APRN04116) 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 1700393394.
Physician's Profile
Full Name | Rachael Erin Prendergast |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 593 Eddy St, Providence, Rhode Island |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700393394
- Provider Enumeration Date: 01/04/2018
- Last Update Date: 08/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 1456759513
- Enrollment ID: I20211005001095
Medical Identifiers
Medical identifiers for Rachael Erin Prendergast such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700393394 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | SP018433 (Pennsylvania) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | RN2288750 (Massachusetts) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | APRN04116 (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. Rachael Erin Prendergast allows following entities to bill medicare on her behalf.
Entity Name | Childrens Health Care Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598869059 PECOS PAC ID: 1355253527 Enrollment ID: O20040216001108 |
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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. Rachael Erin Prendergast 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 |
Rachael Erin Prendergast, MSN, RN, PNP-AC 117 Ellenfield St Ste 101, Providence, RI 02905-4541 Ph: (401) 444-6779 | Rachael Erin Prendergast, MSN, RN, PNP-AC 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 444-7396 |
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