Roodolph Joseph, PA - Medicare Physician Assistant in Warwick, RI

Roodolph Joseph, PA is a medicare enrolled "Physician Assistant" in Warwick, Rhode Island. His current practice location is 43 Jefferson Blvd, Warwick, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 941-2830.

Roodolph Joseph is licensed to practice in Rhode Island (license number PA01507) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114499779.

Contact Information

Roodolph Joseph, PA
43 Jefferson Blvd,
Warwick, RI 02888-1027
(401) 941-2830
Not Available



Provider's Profile

Full NameRoodolph Joseph
GenderMale
SpecialityPhysician Assistant
Location43 Jefferson Blvd, Warwick, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114499779
  • Provider Enumeration Date: 12/20/2018
  • Last Update Date: 03/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1052651957
  • Enrollment ID: I20230316001477

Medical Identifiers

Medical identifiers for Roodolph Joseph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114499779NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 023160 (New York)Secondary
363A00000XPhysician Assistant PA01507 (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. Roodolph Joseph 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
Roodolph Joseph, PA
110 Elm St Fl 3,
Providence, RI 02903-4626

Ph: (401) 443-4992
Roodolph Joseph, PA
43 Jefferson Blvd,
Warwick, RI 02888-1027

Ph: (401) 941-2830

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› Verified 1 days ago


Physician Assistant Nurses in Warwick, RI

Michael John Cobb, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 962 Warwick Ave, Warwick, RI 02888
Phone: 401-612-7100    Fax: 774-565-0469
Riley Nicole Nascimento, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 857 Post Rd, Warwick, RI 02888
Phone: 401-467-3115    
Miss Tami R Menard, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 400 Bald Hill Rd, Suite 526, Warwick, RI 02886
Phone: 401-738-4323    Fax: 401-738-3857
Mr. Christopher D Caissie, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 535 Centerville Road, Ste 102, Warwick, RI 02886
Phone: 401-773-7220    Fax: 401-773-7221
Kimberly Marie Morse, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 475 Kilvert St, Suite 310, Warwick, RI 02886
Phone: 781-472-8650    
Ms. Arlene Denise Kavanagh, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 120 Centerville Rd, Warwick, RI 02886
Phone: 401-738-3730    Fax: 401-738-3777
Mrs. Michelle L. Tautkus, P.A.-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 475 Kilvert Street, Suite 310, Warwick, RI 02886
Phone: 781-472-8650    

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