Susan Mcilvaine, MD in Providence, RI - Medicare Internal Medicine

Susan Mcilvaine, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" 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) 444-5891.

Susan Mcilvaine is licensed to practice in Rhode Island (license number MD19161) 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 1770932386.

Contact Information

	Susan Mcilvaine, MD
	593 Eddy St, Providence, RI 02903-4923
	(401) 444-5891
	Not Available

Map and Direction

Physician's Profile

Full Name	Susan Mcilvaine
Gender	Female
Speciality	Internal Medicine - Cardiovascular Disease
Location	593 Eddy 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: 1770932386
Provider Enumeration Date: 06/06/2016
Last Update Date: 05/24/2023

Medicare PECOS Information:

PECOS PAC ID: 0648565580
Enrollment ID: I20201019002691

Medical Identifiers

Medical identifiers for Susan Mcilvaine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770932386	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	268156 (Massachusetts)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	MD19161 (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. Susan Mcilvaine allows following entities to bill medicare on her behalf.

Entity Name	Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194765438 PECOS PAC ID: 4486567104 Enrollment ID: O20031204000918

Entity Name	Beth Israel Deaconess Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548202641 PECOS PAC ID: 8123936119 Enrollment ID: O20041001000827

Entity Name	Lifespan Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121026000023

Entity Name	Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497151773 PECOS PAC ID: 6305749987 Enrollment ID: O20150211001099

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. Susan Mcilvaine 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
Susan Mcilvaine, MD 117 Ellenfield St Ste 101, Providence, RI 02905-4541 Ph: (401) 444-6779	Susan Mcilvaine, MD 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 444-5891

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

Susan Mcilvaine, MD - Medicare Internal Medicine in Providence, RI