MR. DOUGLAS BRUCE GENEREUX (PA-C) – Physician Assistant, NPI 1518049469
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
774 PHYSICIAN ASSISTANT in RI
Provider Addresses for MR. DOUGLAS BRUCE GENEREUX (PA-C)
3461 S County Trl Ste 201
East Greenwich, RI 028181463
Phone: (401) 284-1212
Fax: (401) 789-1358
Type: Location
120 Centerville Rd Ste 3
Warwick, RI 028864336
Phone: (401) 788-8780
Fax: (401) 788-8787
Type: Location
268 Post Rd Ste 204
Westerly, RI 028916601
Phone: (401) 284-1212
Fax: (401) 789-1358
Type: Location
70 Kenyon Ave Ste 210
Wakefield, RI 028794253
Phone: (401) 788-8780
Fax: (401) 788-8787
Type: Location
164 Summit Ave
C70
Providence, RI 029062853
Phone: (401) 793-3922
Fax: (401) 793-7866
Type: Location
70 Kenyon Ave Ste L10
Wakefield, RI 028794253
Phone: (401) 788-1638
Fax: (401) 782-9892
Type: Location
38 Powel Ave
Newport, RI 028402655
Phone: (401) 788-8780
Fax: (401) 788-8787
Type: Location
PO BOX 16149
RUMFORD, RI 029160697
Phone: (401) 453-9625
Fax: (401) 435-7069
Type: Mailing
Miriam Hospital, 164, Summit Avenue, Providence, Providence County, Rhode Island, 02906, United States
C70
PROVIDENCE, RI 029062853
Phone: (401) 793-3922
Fax: (401) 793-7866
Type: Location
PO BOX 229
WAKEFIELD, RI 028800229
Phone: (401) 788-3929
Fax: (401) 788-3939
Type: Mailing
70 KENYON AVE STE 280
WAKEFIELD, RI 028794253
Phone: (401) 284-1212
Fax: (401) 788-8730
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-06-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080610000006 | I | Physician Assistant | RI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02818)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | RI | |
| Internal Medicine | RI | |
| Physician Assistant | RI | |
| A N E S T H E S I O L O G Y | RI | |
| A N E S T H E S I O L O G Y | RI | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology, Interventional Cardiology, Cardiovascular Disease (Cardiology) | RI | |
| Cardiovascular Disease (Cardiology) | MA | |
| Internal Medicine, Pulmonary Disease, Pulmonary Disease | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| - | RI |
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