Jared Fridley, MD - Medicare Neurosurgery in Providence, RI

Jared Fridley, MD is a medicare enrolled "Neurological Surgery" physician in Providence, Rhode Island. He went to Baylor College Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Lifespan Physician Group Inc and his current practice location is Provider Enrollment Department, 117 Ellenfield Street, Suite 101, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 793-9197.

Jared Fridley is licensed to practice in Rhode Island (license number MD15268) 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 1669703633.

Contact Information

Jared Fridley, MD
Provider Enrollment Department, 117 Ellenfield Street, Suite 101,
Providence, RI 02905
(401) 793-9197
Not Available



Physician's Profile

Full NameJared Fridley
GenderMale
SpecialityNeurosurgery
Experience15 Years
LocationProvider Enrollment Department, 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 Fridley attended and graduated from Baylor College Of Medicine in 2009
  NPI Data:
  • NPI Number: 1669703633
  • Provider Enumeration Date: 01/14/2010
  • Last Update Date: 11/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3577859974
  • Enrollment ID: I20160912001226

Medical Identifiers

Medical identifiers for Jared Fridley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669703633NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery MD15268 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rhode Island HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lifespan Physician Group Inc2567455082631

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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 Fridley allows following entities to bill medicare on his behalf.
Entity NameNewport Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063632180
PECOS PAC ID: 0042111437
Enrollment ID: O20040422000696

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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. Jared Fridley 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 Fridley, MD
1709 Dryden Rd,
Houston, TX 77030-2400

Ph: () -
Jared Fridley, MD
Provider Enrollment Department, 117 Ellenfield Street, Suite 101,
Providence, RI 02905

Ph: (401) 793-9197

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Neurological Surgery Doctors in Providence, RI

Dr. Elias Shaaya, MD
Neurological Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-793-9135    
Dr. Ki-eun Chang, MD
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy Street Apc 6, Providence, RI 02903
Phone: 401-793-9166    Fax: 401-444-2788
Dr. Belinda Shao, MD, MPH
Neurological Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-793-9135    Fax: 401-444-2788
Dr. Petra Margarete Klinge, MD
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 55 Claverick Street, Providence, RI 02903
Phone: 401-455-1749    Fax: 401-455-1292
Sohail Syed, M.D.
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Apc 6, Providence, RI 02903
Phone: 401-444-4146    Fax: 401-444-2781
Albert Edward Telfeian, M.D.
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Apc 6, Providence, RI 02903
Phone: 401-793-9153    Fax: 401-444-2024
Dr. Beverly Claire Walters, M.D.
Neurological Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 128 N Main St, Providence, RI 02903
Phone: 401-351-1369    Fax: 401-251-0079

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