Edward J Marcaccio Jr, MD | |
2 Dudley St, Suite 470, Providence, RI 02905-3236 | |
(401) 553-8318 | |
(401) 868-2307 |
Full Name | Edward J Marcaccio Jr |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 38 Years |
Location | 2 Dudley St, Providence, Rhode Island |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073511218 | NPI | - | NPPES |
7003376 | Medicaid | RI | |
3089657 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | MD08399 (Rhode Island) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Nvna And Hospice | Norwell, MA | Home health agency |
South Shore Hospital | South weymouth, MA | Hospital |
Brigham And Women's Hospital | Boston, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Brigham And Women's Physicians Organization Inc | 3870405988 | 2500 |
Coastal Medical Associates | 7113029257 | 396 |
Entity Name | Coastal Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932175684 PECOS PAC ID: 7113029257 Enrollment ID: O20070221000057 |
Entity Name | Brigham And Women's Physicians Organization Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
Mailing Address | Practice Location Address |
---|---|
Edward J Marcaccio Jr, MD Po Box 16149, Rumford, RI 02916-0697 Ph: (401) 453-9625 | Edward J Marcaccio Jr, MD 2 Dudley St, Suite 470, Providence, RI 02905-3236 Ph: (401) 553-8318 |
Aileen Hsueh, Surgery Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088 | |
Liudmila Muraveika, Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5180 Fax: 401-444-6681 | |
Todd S Stafford, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 195 Collyer St Ste 302, Providence, RI 02904 Phone: 401-228-0633 Fax: 401-793-5171 | |
Sagar Mulay, Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5180 Fax: 401-444-6681 | |
Dewahar Senthoor, MD Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5471 Fax: 401-444-4557 | |
Chibueze Nwaiwu, MD Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5471 Fax: 401-444-4557 | |
Dr. Robert Ira Wolf, MD Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5180 |