Kenneth Ralph Vieira, CNP - Medicare Nurse Practitioner in Providence, RI

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Kenneth Ralph Vieira, CNP is a medicare enrolled "Nurse Practitioner" in Providence, Rhode Island. His current practice location is 180 Corliss St Ste C, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 793-4636.

Kenneth Ralph Vieira is licensed to practice in Rhode Island (license number APRN03921) 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 1609643063.

Contact Information

Kenneth Ralph Vieira, CNP
180 Corliss St Ste C,
Providence, RI 02904-2602
(401) 793-4636
Not Available

Map and Direction




Provider's Profile

Full NameKenneth Ralph Vieira
GenderMale
SpecialityNurse Practitioner
Location180 Corliss St Ste C, 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: 1609643063
  • Provider Enumeration Date: 12/06/2023
  • Last Update Date: 03/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8820436462
  • Enrollment ID: I20240402002923

Medical Identifiers

Medical identifiers for Kenneth Ralph Vieira such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609643063NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN03921 (Rhode Island)Primary
363L00000XNurse Practitioner RN2321336 (Massachusetts)Secondary
163W00000XRegistered Nurse RN2321336 (Massachusetts)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. Kenneth Ralph Vieira allows following entities to bill medicare on his behalf.
Entity NameThe Miriam Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831362813
PECOS PAC ID: 6901796408
Enrollment ID: O20081016000420

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. Kenneth Ralph Vieira 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
Kenneth Ralph Vieira, CNP
117 Ellenfield St Ste 101,
Providence, RI 02905-4541

Ph: (401) 444-6779		Kenneth Ralph Vieira, CNP
180 Corliss St Ste C,
Providence, RI 02904-2602

Ph: (401) 793-4636

Reviews and Comments


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Jennifer R Ouellette, MSN, RNP
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Phone: 401-273-7100    

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.