| Beata Felicia Nelken, MD | |
|
450 Clinton St, Thundermist Health Center, Woonsocket, RI 02895-3207 | |
| (401) 767-4100 | |
| (401) 235-6899 |
| Full Name | Beata Felicia Nelken |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 450 Clinton St, Woonsocket, 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 |
|---|---|---|---|
| 1518922095 | NPI | - | NPPES |
| BN54275 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD11561 (Rhode Island) | Primary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | MD11561 (Rhode Island) | Secondary |
| Entity Name | Blackstone Valley Community Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063574135 PECOS PAC ID: 8628045762 Enrollment ID: O20040916000775 |
| Entity Name | Jenks Park Pediatrics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679116214 PECOS PAC ID: 7517391519 Enrollment ID: O20191230000224 |
| Mailing Address | Practice Location Address |
|---|---|
| Beata Felicia Nelken, MD 450 Clinton St, Thundermist Health Center, Woonsocket, RI 02895-3207 Ph: (401) 767-4100 | Beata Felicia Nelken, MD 450 Clinton St, Thundermist Health Center, Woonsocket, RI 02895-3207 Ph: (401) 767-4100 |
Jason Rafferty, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 450 Clinton St, Woonsocket, RI 02895 Phone: 401-767-4161 Fax: 401-767-5441 | |
Marina N Korneeva, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 450 Clinton St, Woonsocket, RI 02895 Phone: 401-767-4100 Fax: 401-235-6899 | |
David M Bourassa, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 450 Clinton Street, Woonsocket, RI 02895 Phone: 401-767-4100 Fax: 401-235-6894 | |
Evelisse Viamonte, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 450 Clinton St, Woonsocket, RI 02895 Phone: 401-767-4100 | |
Natasha Marie Furtado Dalomba, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 450 Clinton St, Woonsocket, RI 02895 Phone: 401-767-4100 Fax: 401-235-6833 | |
Dr. Richard James Tyler Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 450 Clinton St, Woonsocket, RI 02895 Phone: 401-767-4100 |