Irina Gorbounova, MD - Medicare Pediatrics in Providence, RI

Irina Gorbounova, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" 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) 444-6195.

Irina Gorbounova is licensed to practice in Rhode Island (license number MD18598) 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 1235588245.

Contact Information

Irina Gorbounova, MD
593 Eddy St,
Providence, RI 02903-4923
(401) 444-6195
(401) 444-6378



Physician's Profile

Full NameIrina Gorbounova
GenderFemale
SpecialityPediatrics - Pediatric Gastroenterology
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: 1235588245
  • Provider Enumeration Date: 06/09/2016
  • Last Update Date: 10/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5597003145
  • Enrollment ID: I20221118002395

Medical Identifiers

Medical identifiers for Irina Gorbounova such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235588245NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0206XPediatrics - Pediatric Gastroenterology MD18598 (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. Irina Gorbounova allows following entities to bill medicare on her behalf.
Entity NameRhode Island Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861420333
PECOS PAC ID: 8921900044
Enrollment ID: O20040121000169

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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. Irina Gorbounova 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
Irina Gorbounova, MD
117 Ellenfield St Ste 101,
Providence, RI 02905-4541

Ph: (401) 444-6779
Irina Gorbounova, MD
593 Eddy St,
Providence, RI 02903-4923

Ph: (401) 444-6195

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Pediatrics Doctors in Providence, RI

Evianna Cruz Herrera, MD/MPH
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903
Phone: 401-444-4471    
Sara Regan Ford, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1 Hoppin St, Coro Center Suite 304, Providence, RI 02903
Phone: 401-444-4612    Fax: 401-793-8831
Jennifer F Friedman, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Lower Level, Providence, RI 02903
Phone: 401-444-4471    Fax: 401-444-3870
Jason Shapiro, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-8450    Fax: 401-444-5088
Dr. Mikhaela Monty, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-4471    Fax: 401-444-7574
Dale Steele, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903
Phone: 401-854-2504    Fax: 401-854-2519
Chase B Samsel, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-8450    Fax: 401-444-5088

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