| Donnella Simone Comeau, MD PHD | |
|
525 Broad St, Advanced Radiology, Cumberland, RI 02864-6919 | |
| (401) 725-6736 | |
| Not Available |
| Full Name | Donnella Simone Comeau |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 26 Years |
| Location | 525 Broad St, Cumberland, 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 |
|---|---|---|---|
| 1720068307 | NPI | - | NPPES |
| J29652 | Other | MA | BLOE CROSS BLUE SHIELD |
| 2112710 | Medicaid | MA | |
| 294444 | Other | MA | TUFTS HEALTH CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 223820 (Massachusetts) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD12003 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beth Israel Deaconess Medical Center | Boston, MA | Hospital |
| Tufts Medical Center | Boston, MA | Hospital |
| Beth Israel Deaconess Hospital - Needham | Needham, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | 4486567104 | 1474 |
| Pratt Radiology Associates Inc | 8820989411 | 48 |
| Entity Name | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275574899 PECOS PAC ID: 4486567104 Enrollment ID: O20040323000584 |
| Entity Name | Pratt Radiology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154361780 PECOS PAC ID: 8820989411 Enrollment ID: O20040521000110 |
| Entity Name | Beth Israel Deaconess Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548202641 PECOS PAC ID: 8123936119 Enrollment ID: O20041001000827 |
| Entity Name | Woonsocket Urgent Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881929586 PECOS PAC ID: 1951305168 Enrollment ID: O20100716000220 |
| Entity Name | Brigham & Womens Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
| Entity Name | Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1245773308 PECOS PAC ID: 6305749987 Enrollment ID: O20170628003015 |
| Mailing Address | Practice Location Address |
|---|---|
| Donnella Simone Comeau, MD PHD 190 Elmgrove Ave, Providence, RI 02906-4233 Ph: (781) 962-8621 | Donnella Simone Comeau, MD PHD 525 Broad St, Advanced Radiology, Cumberland, RI 02864-6919 Ph: (401) 725-6736 |
Krishanu Bappa Gupta, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 525 Broad St, Suite 202, Cumberland, RI 02864 Phone: 401-727-4600 Fax: 401-727-4690 | |
Dr. David Cheng, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 525 Broad St, Suite 202- Advanced Radiology, Cumberland, RI 02864 Phone: 401-727-4600 Fax: 401-727-4690 |