Dr David Audoen Maddock, MD - Medicare Obstetrics/gynecology in Providence, RI

Dr David Audoen Maddock, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Providence, Rhode Island. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Southern New England Healthcare For Women, Llc and his current practice location is 297 Promenade St, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 490-6464.

Dr David Audoen Maddock is licensed to practice in Rhode Island (license number MD13247) 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 1871758185.

Contact Information

Dr David Audoen Maddock, MD
297 Promenade St,
Providence, RI 02908
(401) 490-6464
(401) 490-6463



Physician's Profile

Full NameDr David Audoen Maddock
GenderMale
SpecialityObstetrics/gynecology
Experience14 Years
Location297 Promenade 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:
  • Dr David Audoen Maddock graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1871758185
  • Provider Enumeration Date: 07/25/2008
  • Last Update Date: 03/31/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9638294671
  • Enrollment ID: I20100915000335

Medical Identifiers

Medical identifiers for Dr David Audoen Maddock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871758185NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MD13247 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Women & Infants Hospital Of Rhode IslandProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern New England Healthcare For Women, Llc004248664932

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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. Dr David Audoen Maddock allows following entities to bill medicare on his behalf.
Entity NameSouthern New England Healthcare For Women, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699058826
PECOS PAC ID: 0042486649
Enrollment ID: O20120103000614

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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. Dr David Audoen Maddock 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
Dr David Audoen Maddock, MD
297 Promenade St,
Providence, RI 02908-5720

Ph: (401) 490-6464
Dr David Audoen Maddock, MD
297 Promenade St,
Providence, RI 02908

Ph: (401) 490-6464

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Obstetrics & Gynecology Doctors in Providence, RI

Donald Ramos, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 695 Eddy St, Providence, RI 02903
Phone: 401-272-1550    Fax: 401-421-8792
Brittany S Hampton, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1100    
Dr. Jane R. Sharp, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 297 Promenade St, Providence, RI 02908
Phone: 401-490-6464    
Dr. Katharine D Wenstrom, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 101 Dudley Street, 3rd Floor, Women & Infants Hospital Of Rhode Island/mfm Division, Providence, RI 02905
Phone: 401-274-1122    Fax: 401-453-7622
Rebecca Crichton, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1122    
Heather A Smith, MD, MPH
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1122    
Meena Theva, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1122    

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