Dawn M Borschel, MD
Individual provider Active NPI Family Medicine Physician · Pawtucket, RI
NPI 1124002365 · NPPES record last updated Jul 9, 2024
Key facts
- NPI
- 1124002365
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD10387 (RI)
- Practice address
- 21 Division St
Pawtucket, RI 02860-5352 - Phone
- (401) 727-4800
- Fax
- (401) 921-6924
- NPI assigned
- Dec 1, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Boston University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
455 Toll Gate Rd
PRC Credentialing
Warwick, RI 02886-2759
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040226000140 | RI | Practitioner - Family Practice | 9931095932 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blackstone Valley Community Health Care, Inc. | Current |
Accepting new patients | |
| Memorial Hospital | Family Medicine | Past | Accepting new patients |
| Blackstone Valley Community Health Care, Inc. | Past | Accepting new patients |
Locations
1000 Broad St
Central Falls, RI 02863
Phone (401) 722-0081
9 Chestnut St
Central Falls, RI 02863
Phone (401) 722-0081
39 East Ave
Pawtucket, RI 02860
Phone (401) 722-0081
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD10387 | RI | Yes |
Addresses
Primary practice location
21 Division St
Pawtucket, RI 02860-5352
Mailing address
21 Division St
Pawtucket, RI 02860-5352
Phone (401) 727-4800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007059233 | Other | RI | MEDICARE PTAN |
| 7008474 | Medicaid | RI |
Other names
- Dawn B Hogan
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dhogan@direct.carene.org | Health Information Exchange (HIE) |
Other providers in Pawtucket, RI
- Lynne Bongette
- Yvette Bonilla
- Dinora Borges
- Jeffrey M Borkan
- Elisabeth Gessie Borno
- Erin R Botelho
- Lauren Megan Botelho
- Erik Bou
- Maureen Dermody Bouris
- Gabriela Graciela Bowman
All providers in Pawtucket, RI · Family Medicine Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.