| Alice Kim, | |
|
593 Eddy St, Providence, RI 02903-4923 | |
| (401) 444-8450 | |
| (401) 444-5088 |
| Full Name | Alice Kim |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 21 Years |
| Location | 593 Eddy St, Providence, 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 |
|---|---|---|---|
| 1316166531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD491841 (Pennsylvania) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | LP00500 (Rhode Island) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Medical Center | Rockville centre, NY | Hospital |
| Good Samaritan Hospital Medical Center | West islip, NY | Hospital |
| St Francis Hospital - The Heart Center | Roslyn, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Francis Cardiac Prevention Services Pc | 4183515836 | 58 |
| Empire State Radiology P C | 4385075241 | 246 |
| Entity Name | Chs Physician Partners Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124497771 PECOS PAC ID: 7618955667 Enrollment ID: O20040708000027 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20081202000185 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
| Entity Name | St Francis Cardiac Prevention Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376952804 PECOS PAC ID: 4183515836 Enrollment ID: O20150414000094 |
| Entity Name | Empire State Radiology P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255962783 PECOS PAC ID: 4385075241 Enrollment ID: O20200508000320 |
| Mailing Address | Practice Location Address |
|---|---|
| Alice Kim, 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 444-8450 | Alice Kim, 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 444-8450 |
Lars Stangenberg, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2 Dudley St, Suite 470, Providence, RI 02905 Phone: 401-553-8318 Fax: 401-868-2307 | |
Kara Lynne Leonard, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Rih Radiation Oncology, Providence, RI 02903 Phone: 401-444-8311 Fax: 401-444-5335 | |
Paul S Rava, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8311 | |
Earle O Assanah, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5174 | |
Glenn A Tung, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4000 | |
Dr. John Charles Mach, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-432-2500 | |
Sarah-kim Shields, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Radiology, Providence, RI 02903 Phone: 401-444-2133 Fax: 401-444-5017 |