John L Foggle, MD - Medicare Emergency Medicine in Providence, RI

John L Foggle, MD is a medicare enrolled "Emergency Medicine" physician in Providence, Rhode Island. He went to University Of Rochester School Of Medicine And Dentistry and graduated in 1989 and has 35 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Fpa Hospital Based 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) 854-2504.

John L Foggle is licensed to practice in Rhode Island (license number MD12121) 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 1720027253.

Contact Information

John L Foggle, MD
593 Eddy St, Claverick 2,
Providence, RI 02903-4923
(401) 854-2504
(401) 854-2519



Physician's Profile

Full NameJohn L Foggle
GenderMale
SpecialityEmergency Medicine
Experience35 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:
  • John L Foggle attended and graduated from University Of Rochester School Of Medicine And Dentistry in 1989
  NPI Data:
  • NPI Number: 1720027253
  • Provider Enumeration Date: 06/06/2006
  • Last Update Date: 09/17/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6002819968
  • Enrollment ID: I20230620001196

Medical Identifiers

Medical identifiers for John L Foggle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720027253NPI-NPPES
939025129OtherRIRI MEDICARE GROUP NUMBER
NPIOtherRI1720027253
12/29/2008OtherMATUFTS HEALTH PLAN
9/26/2006OtherRINHPRI
2119871MedicaidMA
413496OtherRIBCBSRI
7058592MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD12121 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mount Sinai HospitalNew york, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fpa Hospital Based4789826694479

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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. John L Foggle allows following entities to bill medicare on his behalf.
Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477899078
PECOS PAC ID: 2264691070
Enrollment ID: O20130717000798

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Entity NameFpa Hospital Based
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629319413
PECOS PAC ID: 4789826694
Enrollment ID: O20130806000185

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Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679083984
PECOS PAC ID: 6103251491
Enrollment ID: O20200114002920

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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. John L Foggle 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
John L Foggle, MD
Po Box 9484,
Providence, RI 02940-9484

Ph: (401) 854-2500
John L Foggle, MD
593 Eddy St, Claverick 2,
Providence, RI 02903-4923

Ph: (401) 854-2504

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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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