David Portelli, MD - Medicare Emergency Medicine in Providence, RI

David Portelli, MD is a medicare enrolled "Emergency Medicine" physician in Providence, Rhode Island. He went to State University Of New York At Stony Brook, School Of Medicine and graduated in 1992 and has 32 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.

David Portelli is licensed to practice in Rhode Island (license number MD11206) 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 1427062033.

Contact Information

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



Physician's Profile

Full NameDavid Portelli
GenderMale
SpecialityEmergency Medicine
Experience32 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:
  • David Portelli attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 1992
  NPI Data:
  • NPI Number: 1427062033
  • Provider Enumeration Date: 07/28/2006
  • Last Update Date: 09/18/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4688667363
  • Enrollment ID: I20190129003098

Medical Identifiers

Medical identifiers for David Portelli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427062033NPI-NPPES
2022214MedicaidMA
04-15-2009OtherRIUNITED HEALTHCARE
10-08-2009OtherRINHPRI
12-29-2008OtherMATUFTS HEALTH PLAN
939025129OtherRIRI MEDICARE GROUP NUMBER
7010651MedicaidRI
007010651OtherRIRI MEDICARE
03012009OtherRIBCBSRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD11206 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rhode Island 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. David Portelli 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 NameAffinity Physicians Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184944662
PECOS PAC ID: 0244413391
Enrollment ID: O20110326000053

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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. David Portelli 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
David Portelli, MD
Po Box 9484,
Providence, RI 02940-9484

Ph: (401) 854-2500
David Portelli, 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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