Dale Sumilang, - Medicare Nurse Practitioner in Cranston, RI

Dale Sumilang, is a medicare enrolled "Nurse Practitioner - Acute Care" in Cranston, Rhode Island. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Prospect Chartercare Physicians Llc and her current practice location is 333 Budlong Rd, Cranston, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 943-4530.

Dale Sumilang is licensed to practice in Rhode Island (license number APRN02624) 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 1154938744.

Contact Information

Dale Sumilang,
333 Budlong Rd,
Cranston, RI 02920-6337
(401) 943-4530
Not Available

Map and Direction




Provider's Profile

Full NameDale Sumilang
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location333 Budlong Rd, Cranston, 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:
  • Dale Sumilang graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1154938744
  • Provider Enumeration Date: 09/28/2020
  • Last Update Date: 03/31/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4284042714
  • Enrollment ID: I20210421001301

Medical Identifiers

Medical identifiers for Dale Sumilang such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154938744NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care APRN02624 (Rhode Island)Primary
163W00000XRegistered Nurse RN50764 (Rhode Island)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Roger Williams Medical CenterProvidence, RIHospital
Our Lady Of Fatima HospitalNorth providence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prospect Chartercare Physicians Llc084041665778

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. Dale Sumilang allows following entities to bill medicare on her behalf.
Entity NameMedicine And Long Term Care Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073539227
PECOS PAC ID: 7012911399
Enrollment ID: O20060828000528
Entity NameProspect Chartercare Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629493135
PECOS PAC ID: 0840416657
Enrollment ID: O20140730001883

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. Dale Sumilang 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
Dale Sumilang,
333 Budlong Rd,
Cranston, RI 02920-6337

Ph: (401) 943-4530
Dale Sumilang,
333 Budlong Rd,
Cranston, RI 02920-6337

Ph: (401) 943-4530

Reviews and Comments


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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).

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