Gerald Francis Dornhecker, RNP - Medicare Nurse Practitioner in Providence, RI

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Gerald Francis Dornhecker, RNP is a medicare enrolled "Nurse Practitioner - Family" in Providence, Rhode Island. His current practice location is 593 Eddy St, Apc4, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 272-1800.

Gerald Francis Dornhecker is licensed to practice in Rhode Island (license number NPP37387) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306994538.

Contact Information

Gerald Francis Dornhecker, RNP
593 Eddy St, Apc4,
Providence, RI 02903-4923
(401) 272-1800
(401) 444-6681

Map and Direction




Provider's Profile

Full NameGerald Francis Dornhecker
GenderMale
SpecialityNurse Practitioner - Family
Location593 Eddy St, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306994538
  • Provider Enumeration Date: 01/05/2007
  • Last Update Date: 12/11/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 3870698434
  • Enrollment ID: I20150505000143

Medical Identifiers

Medical identifiers for Gerald Francis Dornhecker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306994538NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NPP37387 (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. Gerald Francis Dornhecker allows following entities to bill medicare on his behalf.
Entity NameOcean State Urgent Care Center Of Smithfield Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447698675
PECOS PAC ID: 4688816135
Enrollment ID: O20130813000003
Entity NameOcean State Urgent Care Center Of Cumberland Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275971400
PECOS PAC ID: 0941442495
Enrollment ID: O20130813000010
Entity NameEmergency Associates Of Woonsocket Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912342528
PECOS PAC ID: 6002050648
Enrollment ID: O20130920000246
Entity NamePrime Healthcare Services Landmark Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518388651
PECOS PAC ID: 3274761069
Enrollment ID: O20140428000588
Entity NameOcean State Urgent Care Center Of Woonsocket
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730588062
PECOS PAC ID: 0345563573
Enrollment ID: O20141219001242
Entity NameEmergency Care Services Of New England Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639537335
PECOS PAC ID: 9739487562
Enrollment ID: O20160412001747
Entity NamePhysicians At Landmark
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255038212
PECOS PAC ID: 4688039084
Enrollment ID: O20230508000159

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. Gerald Francis Dornhecker 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
Gerald Francis Dornhecker, RNP
Po Box 16149,
Rumford, RI 02916-0697

Ph: (401) 453-9625		Gerald Francis Dornhecker, RNP
593 Eddy St, Apc4,
Providence, RI 02903-4923

Ph: (401) 272-1800

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).

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.