Simone Thavaseelan, - Medicare Urology in Providence, RI

Simone Thavaseelan, is a medicare enrolled "Urology" physician in Providence, Rhode Island. She went to Georgetown University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Urology. She is a member of the group practice Brown Urology, Inc. and her current practice location is 2 Dudley St Ste 185, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 444-5795.

Simone Thavaseelan is licensed to practice in Rhode Island (license number MD13391) 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 1053530782.

Contact Information

Simone Thavaseelan,
2 Dudley St Ste 185,
Providence, RI 02905-3247
(401) 444-5795
Not Available



Physician's Profile

Full NameSimone Thavaseelan
GenderFemale
SpecialityUrology
Experience19 Years
Location2 Dudley St Ste 185, 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:
  • Simone Thavaseelan attended and graduated from Georgetown University School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1053530782
  • Provider Enumeration Date: 04/24/2007
  • Last Update Date: 10/14/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 2668641945
  • Enrollment ID: I20110802000527

Medical Identifiers

Medical identifiers for Simone Thavaseelan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053530782NPI-NPPES
349005986OtherRIMEDICARE GROUP PTAN
1659463230OtherGROUP NPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology MD13391 (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 Urology, Inc.781025451330

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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. Simone Thavaseelan allows following entities to bill medicare on her behalf.
Entity NameThe Miriam Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669726451
PECOS PAC ID: 6901796408
Enrollment ID: O20130430000334

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Entity NameBrown Urology, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467973099
PECOS PAC ID: 7810254513
Enrollment ID: O20171206000082

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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. Simone Thavaseelan 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
Simone Thavaseelan,
195 Collyer St Ste 201,
Providence, RI 02904-1869

Ph: (401) 272-7799
Simone Thavaseelan,
2 Dudley St Ste 185,
Providence, RI 02905-3247

Ph: (401) 444-5795

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Urology Doctors in Providence, RI

Boris Gershman, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 195 Collyer St, Suite 201, Providence, RI 02904
Phone: 401-272-7799    Fax: 401-453-9078
Daniel Isaac Sanford, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5795    
Prof. Stephen N. Rous, M.D.
Urology
Medicare: Medicare Enrolled
Practice Location: 830 Chalkstone Ave, Providence, RI 02908
Phone: 401-273-7100    
Mark Sigman, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 2 Dudley St, Suite 185, Providence, RI 02905
Phone: 401-421-0710    Fax: 401-421-0796
Harry Michael Iannotti, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1165 N Main St, Ste. 200, Providence, RI 02904
Phone: 401-521-4333    Fax: 401-521-4377
Kathleen Chace, MD
Urology
Medicare: Medicare Enrolled
Practice Location: Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903
Phone: 401-444-5795    Fax: 401-444-6947

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