Jared Anderson, MD - Medicare Emergency Medicine in Providence, RI

Jared Anderson, MD is a medicare enrolled "Emergency Medicine" physician in Providence, Rhode Island. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 2015 and has 9 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) 519-0337.

Jared Anderson is licensed to practice in Rhode Island (license number MD16561) 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 1669852653.

Contact Information

Jared Anderson, MD
593 Eddy St, Claverick 2,
Providence, RI 02903-0290
(401) 519-0337
Not Available



Physician's Profile

Full NameJared Anderson
GenderMale
SpecialityEmergency Medicine
Experience9 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:
  • Jared Anderson attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2015
  NPI Data:
  • NPI Number: 1669852653
  • Provider Enumeration Date: 06/04/2015
  • Last Update Date: 07/05/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1759643950
  • Enrollment ID: I20190516001934

Medical Identifiers

Medical identifiers for Jared Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669852653NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 273543 (Massachusetts)Secondary
207P00000XEmergency Medicine MD16561 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rhode Island HospitalProvidence, RIHospital
The Miriam 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. Jared Anderson 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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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. Jared Anderson 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
Jared Anderson, MD
125 Whipple St Ste 3,
Providence, RI 02908-3258

Ph: () -
Jared Anderson, MD
593 Eddy St, Claverick 2,
Providence, RI 02903-0290

Ph: (401) 519-0337

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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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