Kathryn Fallavollita, PA in Riverside, RI - Medicare Physician Assistant

Kathryn Fallavollita, PA is a medicare enrolled "Physician Assistant" in Riverside, Rhode Island. Her current practice location is 375 Wampanoag Trl, Riverside, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 649-4070.

Kathryn Fallavollita is licensed to practice in Rhode Island (license number PA01569) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275918286.

Contact Information

	Kathryn Fallavollita, PA
	375 Wampanoag Trl, Riverside, RI 02915-2232
	(401) 649-4070
	(401) 649-4071

Provider's Profile

Full Name	Kathryn Fallavollita
Gender	Female
Speciality	Physician Assistant
Location	375 Wampanoag Trl, Riverside, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275918286
Provider Enumeration Date: 07/21/2015
Last Update Date: 07/10/2023

Medicare PECOS Information:

PECOS PAC ID: 4688977333
Enrollment ID: I20161102000346

Medical Identifiers

Medical identifiers for Kathryn Fallavollita such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275918286	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	3383 (Connecticut)	Secondary
363A00000X	Physician Assistant	PA5430 (Massachusetts)	Secondary
363A00000X	Physician Assistant	PA01569 (Rhode Island)	Primary

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. Kathryn Fallavollita 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 Address	Practice Location Address
Kathryn Fallavollita, PA Dept 3010, Po Box 986524, Boston, MA 02298-6524 Ph: (401) 443-4992	Kathryn Fallavollita, PA 375 Wampanoag Trl, Riverside, RI 02915-2232 Ph: (401) 649-4070

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Physician Assistant Nurses in Riverside, RI

Erin Pierce, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Bullocks Point Ave, Riverside, RI 02915 Phone: 401-437-1008
Kassia Talaiefar, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000
Mr. Christopher T Brannigan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl Ste 401, Riverside, RI 02915 Phone: 401-632-4455 Fax: 443-432-6997
Isabella Malinowski, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4030 Fax: 401-649-4031

Kathryn Fallavollita, PA - Medicare Physician Assistant in Riverside, RI