| Dr Gregg Allen Medeiros, DC | |
|
1196 Elmwood Ave, Providence, RI 02907-3716 | |
| (401) 461-1600 | |
| (401) 461-3500 |
| Full Name | Dr Gregg Allen Medeiros |
|---|---|
| Gender | Male |
| Speciality | Chiropractor - Independent Medical Examiner |
| Location | 1196 Elmwood Ave, Providence, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568545580 | NPI | - | NPPES |
| 0024812 | Other | RI | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DCP00545 (Rhode Island) | Secondary |
| 111NI0013X | Chiropractor - Independent Medical Examiner | DCP00545 (Rhode Island) | Primary |
| Provider Name | Decrescenzo Chiropractic, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013036326 PECOS PAC ID: 5698800340 Enrollment ID: O20100319000148 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gregg Allen Medeiros, DC 43 Mountain Ave, Riverside, RI 02915-5015 Ph: (401) 440-4228 | Dr Gregg Allen Medeiros, DC 1196 Elmwood Ave, Providence, RI 02907-3716 Ph: (401) 461-1600 |
Dr. Kapedjanie Bois, D.C Chiropractor Medicare: Medicare Enrolled Practice Location: 154 Waterman St, Ste 1b, Providence, RI 02906 Phone: 401-415-9585 Fax: 401-415-9586 | |
Royal Health & Wellness Chiropractor Medicare: Medicare Enrolled Practice Location: 154 Waterman St, Suite 1b, Providence, RI 02906 Phone: 401-415-9585 Fax: 401-415-9586 | |
Back In Motion Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 756 Eddy St, Providence, RI 02903 Phone: 401-228-7122 Fax: 401-228-7144 | |
Dr. Luke Joseph Basler, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1261 N Main St Ste 1, Providence, RI 02904 Phone: 401-421-0290 Fax: 401-421-0293 | |
Lanni Chiropractic And Sports Injuries Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 667 Academy Ave, Providence, RI 02908 Phone: 401-354-4460 Fax: 401-354-4480 | |
Dr. Ronald E Clary Jr., D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 154 Waterman St Ste 1b, Providence, RI 02906 Phone: 401-415-9585 Fax: 401-415-9586 | |
University Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 45 Eagle St, Providence, RI 02909 Phone: 401-272-1120 Fax: 401-272-1148 |