Providence Integrative Wellness is a
Pediatrics based in Providence, Rhode Island. Providence Integrative Wellness is licensed to practice in * (Not Available) (license number ) and their current practice location is
182 Gano St, Providence, Rhode Island. It can be reached at their office (for appointments etc.) via phone at
(401) 688-2782.
NPI number for Providence Integrative Wellness is 1609001585 and their current mailing address is 182 Gano Street, Providence, Rhode Island. Providence Integrative Wellness
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1609001585.
Healthcare Provider's Profile
Full Name | Providence Integrative Wellness |
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Type | Facility |
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Speciality | Pediatrics |
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Location | 182 Gano St, Providence, Rhode Island |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609001585
- Provider Enumeration Date: 05/21/2009
- Last Update Date: 05/21/2009
Medical Identifiers
Medical identifiers for Providence Integrative Wellness such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609001585 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Providence Integrative Wellness is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Providence Integrative Wellness 182 Gano Street, Providence, RI 02906 Ph: (401) 688-2782 | Providence Integrative Wellness 182 Gano St, Providence, RI 02906 Ph: (401) 688-2782 |
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