Elizabeth Bellairs-Roy, PA-C
Individual provider Active NPI Physician Assistant · East Greenwich, RI
NPI 1487917381 · NPPES record last updated May 19, 2017
Key facts
- NPI
- 1487917381
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 00649 (RI)
- Practice address
- 1351 S County TRL
Suite 302
East Greenwich, RI 02818-5105 - Phone
- (401) 886-5663
- Fax
- (401) 884-9043
- NPI assigned
- Jun 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Umass Memorial Medical Group Inc
Practice addresses (Care Compare)
10 N Main St
Charlton, MA 01507-1590
Phone (508) 248-3015
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
Hospital & facility affiliations
- Umass Memorial Health - Harrington Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in RI, MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140624000779 | RI | Practitioner - Physician Assistant | 6002030541 | Reassigns benefits to 1 organization |
| I20200327000158 | MA | Practitioner - Physician Assistant | 6002030541 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00649 | RI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group, Inc. | Current |
Accepting new patients | |
| Umass Memorial Medical Group Inc | Physician Assistant | Past | Accepting new patients |
Locations
100 South St
Southbridge, MA 01550
Phone (508) 764-8012
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA4358 | MA | |
| Physician Assistant | 363A00000X | 00649 | RI | Yes |
Addresses
Primary practice location
1351 S County TRL
Suite 302
East Greenwich, RI 02818-5105
Mailing address
1351 S County TRL
Suite 302
East Greenwich, RI 02818-5105
Phone (401) 886-5663
Other providers in East Greenwich, RI
- Bayside Endoscopy Center LLC
- Sarah Beatrice
- Shelley M Beaudoin
- Randi B Belhumeur
- Joshua William Bell
- Shaina L Belsky
- Benjamin P Lichtenfels DO PC
- Kristin Ann Benjamin
- Rebecca Lorraine Bennard
- Kayla Jane Benton
All providers in East Greenwich, RI · Physician Assistant 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 May 19, 2017. 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.