| Diane E Minasian, MD | |
|
100 Bullocks Point Ave, Riverside, RI 02915-5351 | |
| (401) 437-1008 | |
| (401) 433-3042 |
| Full Name | Diane E Minasian |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 100 Bullocks Point Ave, Riverside, 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 |
|---|---|---|---|
| 1467501882 | NPI | - | NPPES |
| 411803 | Other | RI | UGS |
| 411813 | Other | RI | UGS |
| 411833 | Other | RI | UGS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD08367 (Rhode Island) | Primary |
| Entity Name | East Bay Community Action Program |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609925122 PECOS PAC ID: 1951298595 Enrollment ID: O20040301000102 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane E Minasian, MD 100 Bullocks Point Ave, Riverside, RI 02915-5351 Ph: (401) 437-1008 | Diane E Minasian, MD 100 Bullocks Point Ave, Riverside, RI 02915-5351 Ph: (401) 437-1008 |
Mr. Thomas E Guttmacher, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Bullocks Point Ave, Riverside, RI 02915 Phone: 401-437-1008 Fax: 401-433-3042 | |
Mrs. Teresita Hamilton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Bullocks Point Ave, Riverside, RI 02915 Phone: 401-437-1008 Fax: 401-433-3042 | |
Chandnikumari Nitinkumar Patel, DNP, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4090 Fax: 401-649-4091 | |
Miss Sarah Jane Fessler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Bullocks Point Ave, Riverside, RI 02915 Phone: 401-437-1008 Fax: 401-433-3042 | |
Nadia Mujahid, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Suite 102, Riverside, RI 02915 Phone: 401-649-4010 Fax: 401-649-4011 |