| Mariah Stump, MD | |
|
375 Wampanoag Trl, Riverside, RI 02915-2232 | |
| (401) 649-4020 | |
| (401) 649-4021 |
| Full Name | Mariah Stump |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 14 Years |
| Location | 375 Wampanoag Trl, Riverside, Rhode Island |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841550738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | MD14956 (Rhode Island) | Secondary |
| 207R00000X | Internal Medicine | MD14956 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Care | Warwick, RI | Home health agency |
| Nurse On Call | Lincoln, RI | Home health agency |
| Visiting Nurse Home And Hospice | Portsmouth, RI | Home health agency |
| The Miriam Hospital | Providence, RI | Hospital |
| Rhode Island Hospital | Providence, RI | Hospital |
| Women & Infants Hospital Of Rhode Island | Providence, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coastal Medical Physicians Inc | 0345658316 | 214 |
| Brown Medicine | 0446159776 | 222 |
| Provider Name | Brown Medicine |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689626764 PECOS PAC ID: 0446159776 Enrollment ID: O20040219000354 |
| Provider Name | The Miriam Hospital |
|---|---|
| Provider Type | Part B Supplier - Hospital Department(s) |
| Provider Identifiers | NPI Number: 1164716031 PECOS PAC ID: 6901796408 Enrollment ID: O20110928000027 |
| Provider Name | Lifespan Physician Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368 |
| Provider Name | Coastal Medical Physicians Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780273540 PECOS PAC ID: 0345658316 Enrollment ID: O20210427001413 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariah Stump, MD Dept 3010, Po Box 986524, Boston, MA 02298-6524 Ph: (833) 924-5546 | Mariah Stump, MD 375 Wampanoag Trl, Riverside, RI 02915-2232 Ph: (401) 649-4020 |