Marygene Manansala Santa Teresa, MD - Medicare Psychiatry in Providence, RI

Marygene Manansala Santa Teresa, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Providence, Rhode Island. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Affinity Physicians Llc. and her current practice location is 530 North Main Street, The Providence Center, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 528-0110.

Marygene Manansala Santa Teresa is licensed to practice in Rhode Island (license number 11597) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336158344.

Contact Information

Marygene Manansala Santa Teresa, MD
530 North Main Street, The Providence Center,
Providence, RI 02904
(401) 528-0110
(401) 276-4111



Physician's Profile

Full NameMarygene Manansala Santa Teresa
GenderFemale
SpecialityPsychiatry
Experience28 Years
Location530 North Main Street, Providence, Rhode Island
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Marygene Manansala Santa Teresa graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1336158344
  • Provider Enumeration Date: 08/07/2006
  • Last Update Date: 10/04/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 0345131819
  • Enrollment ID: I20050225000429

Medical Identifiers

Medical identifiers for Marygene Manansala Santa Teresa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336158344NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 041649 (Connecticut)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 11597 (Rhode Island)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Affinity Physicians Llc.0244413391619

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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. Marygene Manansala Santa Teresa allows following entities to bill medicare on her behalf.
Entity NameThe Providence Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104847946
PECOS PAC ID: 9739080292
Enrollment ID: O20040116000840

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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. Marygene Manansala Santa Teresa 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
Marygene Manansala Santa Teresa, MD
41 Emily Ln,
Warwick, RI 02886-4527

Ph: (201) 647-9831
Marygene Manansala Santa Teresa, MD
530 North Main Street, The Providence Center,
Providence, RI 02904

Ph: (401) 528-0110

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Psychiatry & Neurology Doctors in Providence, RI

Dr. Dana Siperstein, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 167 Point St, Providence, RI 02903
Phone: 401-793-8808    Fax: 401-793-8851
Giuseppe Salvatore D'amelio Iv, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 167 Point St, Providence, RI 02903
Phone: 401-793-8808    
Eugenie Atallah,
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-606-2645    Fax: 401-606-4386
Dr. Luisa Skoble, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5448    Fax: 401-444-6119
Arnaldo A Berges, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Jane Brown 5s, Providence, RI 02903
Phone: 401-444-5448    Fax: 401-444-6119
Sharath Ponnappa Puttichanda,
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 345 Blackstone Blvd, Providence, RI 02906
Phone: 401-455-6346    Fax: 401-455-6532
Loreen Phyllis Carol Pirnie, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5448    

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