Emanuela Donata Antonellis, in Providence, RI

Emanuela Donata Antonellis, is a medicare enrolled "Nurse Practitioner - Family" in Providence, Rhode Island. Her current practice location is 593 Eddy Street, Apc 6, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 793-9166.

Emanuela Donata Antonellis is licensed to practice in Rhode Island (license number APRN04113) 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 1316725427.

Contact Information

	Emanuela Donata Antonellis,
	593 Eddy Street, Apc 6, Providence, RI 02903
	(401) 793-9166
	Not Available

Map and Direction

Provider's Profile

Full Name	Emanuela Donata Antonellis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	593 Eddy Street, 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: 1316725427
Provider Enumeration Date: 09/19/2023
Last Update Date: 08/14/2024

Medicare PECOS Information:

PECOS PAC ID: 2860849304
Enrollment ID: I20231106001798

Medical Identifiers

Medical identifiers for Emanuela Donata Antonellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316725427	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN04113 (Rhode Island)	Primary
363LF0000X	Nurse Practitioner - Family	10794 (Minnesota)	Secondary

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. Emanuela Donata Antonellis allows following entities to bill medicare on her behalf.

Entity Name	Fairview Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516

Entity Name	Healtheast Medical Research Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507

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. Emanuela Donata Antonellis 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
Emanuela Donata Antonellis, 117 Ellenfield St Ste 101, Providence, RI 02905-4541 Ph: (401) 444-6779	Emanuela Donata Antonellis, 593 Eddy Street, Apc 6, Providence, RI 02903 Ph: (401) 793-9166

Reviews and Comments

Nurse Practitioner Nurses in Providence, RI

Mrs. Halina Kuc-mazgaj, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, The Miriam Hospital, Providence, RI 02906 Phone: 401-793-3902
Tanya A White, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-276-4020
Phina A Mayu, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Randall Sq, Providence, RI 02904 Phone: 401-274-6339 Fax: 401-453-6290
Beverly Casinelli, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Allens Ave, Providence, RI 02905 Phone: 401-606-4150
Elizabeth Moore Medbury, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7011
Abigail Leah Soscia, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Dudley Street, Wih Neonatology/pediatrics, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7571
Jennifer R Ouellette, MSN, RNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Pvamc 830 Chalkstone Ave, Firm Vi, Providence, RI 02908 Phone: 401-273-7100

Emanuela Donata Antonellis, - Medicare Nurse Practitioner in Providence, RI