Brian Clyne, MD - Medicare Emergency Medicine in Providence, RI

Brian Clyne, MD is a medicare enrolled "Emergency Medicine" physician in Providence, Rhode Island. He went to Warren Alpert Medical School Of Brown University and graduated in 1997 and has 27 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Brown Emergency Medicine and his current practice location is 593 Eddy St, Claverick 2, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 854-2504.

Brian Clyne is licensed to practice in Rhode Island (license number MD10332) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083638928.

Contact Information

Brian Clyne, MD
593 Eddy St, Claverick 2,
Providence, RI 02903-4923
(401) 854-2504
(401) 854-2519



Physician's Profile

Full NameBrian Clyne
GenderMale
SpecialityEmergency Medicine
Experience27 Years
Location593 Eddy St, Providence, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brian Clyne attended and graduated from Warren Alpert Medical School Of Brown University in 1997
  NPI Data:
  • NPI Number: 1083638928
  • Provider Enumeration Date: 07/26/2006
  • Last Update Date: 09/17/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4981751385
  • Enrollment ID: I20111101000122

Medical Identifiers

Medical identifiers for Brian Clyne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083638928NPI-NPPES
12/29/2008OtherRITUFTS
0107964MedicaidMA
930093283OtherRIRAILROAD MEDICARE
939025129OtherRIRI MEDICARE GROUP NUMBER
1083638928OtherRINPI
7008267MedicaidRI
12/14/2006OtherRINHPRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD10332 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rhode Island HospitalProvidence, RIHospital
The Miriam HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Brown Emergency Medicine7214833169141

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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. Brian Clyne allows following entities to bill medicare on his behalf.
Entity NameBrown Emergency Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962455022
PECOS PAC ID: 7214833169
Enrollment ID: O20040116000868

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Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407116643
PECOS PAC ID: 2567455082
Enrollment ID: O20121029000368

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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. Brian Clyne 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
Brian Clyne, MD
Po Box 9484,
Providence, RI 02940-9484

Ph: (401) 854-2508
Brian Clyne, MD
593 Eddy St, Claverick 2,
Providence, RI 02903-4923

Ph: (401) 854-2504

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Emergency Medicine Doctors in Providence, RI

Dr. Robert A Partridge, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903
Phone: 401-519-1604    Fax: 401-272-0538
Dr. Gregory R Lockhart, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903
Phone: 401-444-4000    Fax: 401-427-7795
Ian M Jacobson, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 825 Chalkstone Ave, Providence, RI 02908
Phone: 330-493-4443    
Dr. Daniel Shanin, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St., Claverick 2, Providence, RI 02903
Phone: 401-444-4000    
Carli Renske Reisdorf, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-6680    
Dr. Oriane Diana Longerstaey, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 164 Summit Ave, Providence, RI 02906
Phone: 704-355-3181    
Rachel Smith Shain, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-6489    Fax: 401-444-6662

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