Taneisha Wilson, MD - Medicare Emergency Medicine in Providence, RI

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Taneisha Wilson, MD is a medicare enrolled "Emergency Medicine" physician in Providence, Rhode Island. She went to University Of Connecticut School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Affinity Physicians Llc., Brown Emergency Medicine and 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) 444-4247.

Taneisha Wilson is licensed to practice in Rhode Island (license number MD15346) 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 1184984072.

Contact Information

Taneisha Wilson, MD
593 Eddy St,
Providence, RI 02903-4923
(401) 444-4247
(401) 444-6662

Map and Direction




Physician's Profile

Full NameTaneisha Wilson
GenderFemale
SpecialityEmergency Medicine
Experience12 Years
Location593 Eddy St, Providence, Rhode Island
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Taneisha Wilson attended and graduated from University Of Connecticut School Of Medicine in 2012
  NPI Data:
  • NPI Number: 1184984072
  • Provider Enumeration Date: 05/24/2012
  • Last Update Date: 12/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2365661162
  • Enrollment ID: I20160601001560

Medical Identifiers

Medical identifiers for Taneisha Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184984072NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD15346 (Rhode Island)Primary
207P00000XEmergency Medicine LP02561 (Rhode Island)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rhode Island HospitalProvidence, RIHospital
The Miriam HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Affinity Physicians Llc.0244413391616
Brown Emergency Medicine7214833169140

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. Taneisha Wilson allows following entities to bill medicare on her behalf.
Entity NameBrown Emergency Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962455022
PECOS PAC ID: 7214833169
Enrollment ID: O20040116000868
Entity NameAffinity Physicians Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184944662
PECOS PAC ID: 0244413391
Enrollment ID: O20110326000053
Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407116643
PECOS PAC ID: 2567455082
Enrollment ID: O20121029000368

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. Taneisha Wilson 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
Taneisha Wilson, MD
593 Eddy St,
Providence, RI 02903-4923

Ph: (401) 444-4247		Taneisha Wilson, MD
593 Eddy St,
Providence, RI 02903-4923

Ph: (401) 444-4247

Reviews and Comments


Emergency Medicine Doctors in Providence, RI

Dr. Robert A Partridge, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903
Phone: 401-519-1604    Fax: 401-272-0538
Dr. Gregory R Lockhart, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903
Phone: 401-444-4000    Fax: 401-427-7795
Ian M Jacobson, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 825 Chalkstone Ave, Providence, RI 02908
Phone: 330-493-4443    
Dr. Daniel Shanin, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St., Claverick 2, Providence, RI 02903
Phone: 401-444-4000    
Dr. Oriane Diana Longerstaey, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 164 Summit Ave, Providence, RI 02906
Phone: 704-355-3181    
Rachel Smith Shain, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-6489    Fax: 401-444-6662
Otto Liebmann, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903
Phone: 401-519-1604    Fax: 401-272-0538

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.