Carli Renske Reisdorf, MD - Medicare Emergency Medicine in Providence, RI

Carli Renske Reisdorf, MD is a medicare enrolled "Emergency Medicine" physician in Providence, Rhode Island. Her current practice location is 593 Eddy St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 444-6680.

Carli Renske Reisdorf is licensed to practice in Rhode Island (license number MD18657) 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 1013412717.

Contact Information

Carli Renske Reisdorf, MD
593 Eddy St,
Providence, RI 02903-4923
(401) 444-6680
Not Available



Physician's Profile

Full NameCarli Renske Reisdorf
GenderFemale
SpecialityEmergency Medicine
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: 1013412717
  • Provider Enumeration Date: 03/26/2018
  • Last Update Date: 12/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5799188694
  • Enrollment ID: I20220810002248

Medical Identifiers

Medical identifiers for Carli Renske Reisdorf such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013412717NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PP0204XEmergency Medicine - Pediatric Emergency Medicine MD18657 (Rhode Island)Secondary
207P00000XEmergency Medicine MD18657 (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. Carli Renske Reisdorf allows following entities to bill medicare on her 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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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. Carli Renske Reisdorf 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
Carli Renske Reisdorf, MD
593 Eddy St,
Providence, RI 02903-4923

Ph: () -
Carli Renske Reisdorf, MD
593 Eddy St,
Providence, RI 02903-4923

Ph: (401) 444-6680

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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    
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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