| Debra L Dale-walek, MD | |
|
200 High Service Ave, North Providence, RI 02904-5113 | |
| (401) 456-3000 | |
| Not Available |
| Full Name | Debra L Dale-walek |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 43 Years |
| Location | 200 High Service Ave, North 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 |
|---|---|---|---|
| 1265407746 | NPI | - | NPPES |
| 27417-3 | Other | RI | BLUECROSS BLUESHIELD |
| P00167240 | Other | RAILROAD | |
| 401267 | Other | RI | BLUE CHIP |
| 7002303 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD07335 (Rhode Island) | Primary |
| 207R00000X | Internal Medicine | MD07335 (Rhode Island) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Atmed Treatment Center, Inc. | 4587655543 | 9 |
| Entity Name | Atmed Treatment Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558490151 PECOS PAC ID: 4587655543 Enrollment ID: O20040519001300 |
| Mailing Address | Practice Location Address |
|---|---|
| Debra L Dale-walek, MD Po Box 65377, Charlotte, NC 28265-0377 Ph: (800) 377-8721 | Debra L Dale-walek, MD 200 High Service Ave, North Providence, RI 02904-5113 Ph: (401) 456-3000 |
Paul Dionisopoulos, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1637 Mineral Spring Ave, North Providence, RI 02904 Phone: 401-353-1012 Fax: 401-353-6362 | |
Carolyn K. Mcgrath, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3000 | |
Kevin P. O'connell, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3000 | |
Diane M. Reali Marini, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3000 | |
Susan D Casper, PA Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3000 | |
Dr. David Julian Goldstein, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3402 |