Theresa A Graves, MD - Medicare General Surgery in Providence, RI

Theresa A Graves, MD is a medicare enrolled "Surgery" physician in Providence, Rhode Island. She went to University Of Vermont College Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice University Surgical Associates, Inc., Rhode Island Hospital and her current practice location is 2 Dudley St, Suite 470, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 553-8304.

Theresa A Graves is licensed to practice in Rhode Island (license number MD08747) 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 1124025663.

Contact Information

Theresa A Graves, MD
2 Dudley St, Suite 470,
Providence, RI 02905-3236
(401) 553-8304
(401) 868-2304

Map and Direction




Physician's Profile

Full NameTheresa A Graves
GenderFemale
SpecialityGeneral Surgery
Experience39 Years
Location2 Dudley 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:
  • Theresa A Graves attended and graduated from University Of Vermont College Of Medicine in 1985
  NPI Data:
  • NPI Number: 1124025663
  • Provider Enumeration Date: 06/30/2005
  • Last Update Date: 01/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8325008170
  • Enrollment ID: I20041015000238

Medical Identifiers

Medical identifiers for Theresa A Graves such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124025663NPI-NPPES
9020216MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MD08747 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rhode Island HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Surgical Associates, Inc.408250303296
Rhode Island Hospital8921900044307

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. Theresa A Graves allows following entities to bill medicare on her behalf.
Entity NameUniversity Surgical Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376589895
PECOS PAC ID: 4082503032
Enrollment ID: O20040818001275
Entity NameRhode Island Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396849782
PECOS PAC ID: 8921900044
Enrollment ID: O20050211000311

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. Theresa A Graves 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
Theresa A Graves, MD
Po Box 16149,
Rumford, RI 02916-0697

Ph: (401) 453-9625
Theresa A Graves, MD
2 Dudley St, Suite 470,
Providence, RI 02905-3236

Ph: (401) 553-8304

Reviews and Comments


Surgery Doctors in Providence, RI

Aileen Hsueh,
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Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-8450    Fax: 401-444-5088
Liudmila Muraveika,
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Phone: 401-444-5180    Fax: 401-444-6681
Todd S Stafford, MD
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Phone: 401-228-0633    Fax: 401-793-5171
Chibueze Nwaiwu, MD
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Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5471    Fax: 401-444-4557
Dr. Robert Ira Wolf, MD
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Practice Location: 593 Eddy St, Providence, RI 02903
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Abigail Case, MD
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Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5180    
Roberto M Vera, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-8450    Fax: 401-444-5088

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.