| David E Wazer, MD | |
|
593 Eddy St, Department Of Radiation Oncology, Providence, RI 02903-4923 | |
| (401) 444-8311 | |
| (401) 444-5335 |
| Full Name | David E Wazer |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 43 Years |
| Location | 593 Eddy St, Providence, 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 |
|---|---|---|---|
| 1821053653 | NPI | - | NPPES |
| 4804-8 | Other | RI | BLUE CROSS BLUE SHIELD |
| 7006674 | Medicaid | RI | |
| 709180 | Other | MA | TUFTS HEALTH PLAN |
| 2400030 | Other | RI | UNITED HEALTHCARE |
| P00762784 | Other | RI | RAILROAD MEDICARE - RADIOSURGERY CENTER OF RI |
| 3032477 | Medicaid | MA | |
| 0190162 | Other | RI | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 00-59408 (Massachusetts) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | MD09674 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rhode Island Hospital | Providence, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiosurgery Center Of Rhode Island Llc | 0345393559 | 10 |
| Lifespan Physician Group Inc | 2567455082 | 669 |
| 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 | Pratt Radiation Oncology Associates Of Rhode Island, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891843579 PECOS PAC ID: 4284731357 Enrollment ID: O20070524000277 |
| Entity Name | Radiosurgery Center Of Rhode Island Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578726261 PECOS PAC ID: 0345393559 Enrollment ID: O20090806000017 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| David E Wazer, MD 593 Eddy St, Department Of Radiation Oncology, Providence, RI 02903-4923 Ph: (401) 444-8311 | David E Wazer, MD 593 Eddy St, Department Of Radiation Oncology, Providence, RI 02903-4923 Ph: (401) 444-8311 |
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 |