Edward J Marcaccio Jr, MD - Medicare Vascular Surgery in Providence, RI

Edward J Marcaccio Jr, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Providence, Rhode Island. He went to University Of Rochester School Of Medicine And Dentistry and graduated in 1986 and has 38 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Brigham And Women's Physicians Organization Inc, Coastal Medical Associates and his current practice location is 2 Dudley St, Suite 470, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 553-8318.

Edward J Marcaccio Jr is licensed to practice in Rhode Island (license number MD08399) 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 1073511218.

Contact Information

Edward J Marcaccio Jr, MD
2 Dudley St, Suite 470,
Providence, RI 02905-3236
(401) 553-8318
(401) 868-2307



Physician's Profile

Full NameEdward J Marcaccio Jr
GenderMale
SpecialityVascular Surgery
Experience38 Years
Location2 Dudley 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:
  • Edward J Marcaccio Jr attended and graduated from University Of Rochester School Of Medicine And Dentistry in 1986
  NPI Data:
  • NPI Number: 1073511218
  • Provider Enumeration Date: 07/12/2005
  • Last Update Date: 08/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4082674833
  • Enrollment ID: I20161014000146

Medical Identifiers

Medical identifiers for Edward J Marcaccio Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073511218NPI-NPPES
7003376MedicaidRI
3089657MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery MD08399 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Nvna And HospiceNorwell, MAHome health agency
South Shore HospitalSouth weymouth, MAHospital
Brigham And Women's HospitalBoston, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Brigham And Women's Physicians Organization Inc38704059882510
Coastal Medical Associates7113029257412

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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. Edward J Marcaccio Jr allows following entities to bill medicare on his behalf.
Entity NameSouth Shore Medical Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669411856
PECOS PAC ID: 3678487444
Enrollment ID: O20040413000332

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Entity NameCoastal Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932175684
PECOS PAC ID: 7113029257
Enrollment ID: O20070221000057

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Entity NameBrigham And Women's Physicians Organization Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033535497
PECOS PAC ID: 3870405988
Enrollment ID: O20150107001260

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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. Edward J Marcaccio Jr 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
Edward J Marcaccio Jr, MD
Po Box 16149,
Rumford, RI 02916-0697

Ph: (401) 453-9625
Edward J Marcaccio Jr, MD
2 Dudley St, Suite 470,
Providence, RI 02905-3236

Ph: (401) 553-8318

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Surgery Doctors in Providence, RI

Aileen Hsueh,
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-8450    Fax: 401-444-5088
Liudmila Muraveika,
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5180    Fax: 401-444-6681
Todd S Stafford, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 195 Collyer St Ste 302, Providence, RI 02904
Phone: 401-228-0633    Fax: 401-793-5171
Sagar Mulay,
Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5180    Fax: 401-444-6681
Dewahar Senthoor, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5471    Fax: 401-444-4557
Chibueze Nwaiwu, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5471    Fax: 401-444-4557
Dr. Robert Ira Wolf, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5180    

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