Simone Thavaseelan, in Providence, RI

Simone Thavaseelan, is a medicare enrolled "Urology" physician in Providence, Rhode Island. She went to Georgetown University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Urology. She is a member of the group practice Brown Urology, Inc. and her current practice location is 2 Dudley St Ste 185, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 444-5795.

Simone Thavaseelan is licensed to practice in Rhode Island (license number MD13391) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053530782.

Contact Information

	Simone Thavaseelan,
	2 Dudley St Ste 185, Providence, RI 02905-3247
	(401) 444-5795
	Not Available

Map and Direction

Physician's Profile

Full Name	Simone Thavaseelan
Gender	Female
Speciality	Urology
Experience	19 Years
Location	2 Dudley St Ste 185, Providence, Rhode Island
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Simone Thavaseelan attended and graduated from Georgetown University School Of Medicine in 2005

NPI Data:

NPI Number: 1053530782
Provider Enumeration Date: 04/24/2007
Last Update Date: 10/14/2011

Medicare PECOS Information:

PECOS PAC ID: 2668641945
Enrollment ID: I20110802000527

Medical Identifiers

Medical identifiers for Simone Thavaseelan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053530782	NPI	-	NPPES
349005986	Other	RI	MEDICARE GROUP PTAN
1659463230	Other		GROUP NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	MD13391 (Rhode Island)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Rhode Island Hospital	Providence, RI	Hospital
The Miriam Hospital	Providence, RI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Brown Urology, Inc.	7810254513	28

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. Simone Thavaseelan allows following entities to bill medicare on her behalf.

Entity Name	The Miriam Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669726451 PECOS PAC ID: 6901796408 Enrollment ID: O20130430000334

Entity Name	Brown Urology, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467973099 PECOS PAC ID: 7810254513 Enrollment ID: O20171206000082

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. Simone Thavaseelan 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
Simone Thavaseelan, 195 Collyer St Ste 201, Providence, RI 02904-1869 Ph: (401) 272-7799	Simone Thavaseelan, 2 Dudley St Ste 185, Providence, RI 02905-3247 Ph: (401) 444-5795

Reviews and Comments

Urology Doctors in Providence, RI

Boris Gershman, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 195 Collyer St, Suite 201, Providence, RI 02904 Phone: 401-272-7799 Fax: 401-453-9078
Daniel Isaac Sanford, MD Urology Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5795
Prof. Stephen N. Rous, M.D. Urology Medicare: Medicare Enrolled Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7100
Mark Sigman, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2 Dudley St, Suite 185, Providence, RI 02905 Phone: 401-421-0710 Fax: 401-421-0796
Harry Michael Iannotti, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1165 N Main St, Ste. 200, Providence, RI 02904 Phone: 401-521-4333 Fax: 401-521-4377
Dr. Barry Stephen Stein, MD Urology Medicare: Medicare Enrolled Practice Location: 2 Dudley St, Suite 174, Providence, RI 02905 Phone: 401-444-8577

Simone Thavaseelan, - Medicare Urology in Providence, RI