| Christopher Dimarco, MD | |
|
375 Wampanoag Trl Ste 401, Riverside, RI 02915-2237 | |
| (401) 444-7959 | |
| (401) 432-6997 |
| Full Name | Christopher Dimarco |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 15 Years |
| Location | 375 Wampanoag Trl Ste 401, Riverside, Rhode Island |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922391150 | NPI | - | NPPES |
| 1922391150 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | MD15053 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rhode Island Hospital | Providence, RI | Hospital |
| The Miriam Hospital | Providence, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brown Dermatology Inc | 3870872773 | 27 |
| The Miriam Hospital | 6901796408 | 172 |
| Entity Name | Rhode Island Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396849782 PECOS PAC ID: 8921900044 Enrollment ID: O20050211000311 |
| Entity Name | Lifespan Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368 |
| Entity Name | Rhode Island Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154537520 PECOS PAC ID: 8921900044 Enrollment ID: O20141017000105 |
| Entity Name | Brown Dermatology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730538026 PECOS PAC ID: 3870872773 Enrollment ID: O20161117000508 |
| Entity Name | The Miriam Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598978744 PECOS PAC ID: 6901796408 Enrollment ID: O20170303000645 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Dimarco, MD 15 La Salle Sq, Providence, RI 02903-1814 Ph: (401) 444-6779 | Christopher Dimarco, MD 375 Wampanoag Trl Ste 401, Riverside, RI 02915-2237 Ph: (401) 444-7959 |
Tiffany J Libby, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl Ste 401, Riverside, RI 02915 Phone: 401-444-7959 Fax: 401-432-6997 | |
Dr. Victor Allen Neel, MD PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl Ste 401, Riverside, RI 02915 Phone: 401-444-7959 Fax: 401-444-7912 |