| Dr Andrew Mazur, MD | |
|
765 Allens Ave Ste 110, Providence, RI 02905-5443 | |
| (401) 432-6800 | |
| (401) 432-6832 |
| Full Name | Dr Andrew Mazur |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 35 Years |
| Location | 765 Allens Ave Ste 110, 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 |
|---|---|---|---|
| 1972576007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 150693 (Massachusetts) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | MD09581 (Rhode Island) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southcoast Hospital Group, Inc | Fall river, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Rehabilitation Associates, Pc | 2163419375 | 3 |
| Lifespan Physician Group Inc | 2567455082 | 1151 |
| Entity Name | Southeast Rehabilitation Associates, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760564413 PECOS PAC ID: 2163419375 Enrollment ID: O20040429000304 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew Mazur, MD 765 Allens Ave Ste 104, Providence, RI 02905-5443 Ph: (401) 606-4150 | Dr Andrew Mazur, MD 765 Allens Ave Ste 110, Providence, RI 02905-5443 Ph: (401) 432-6800 |
Amy Ludovici, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1 Cunningham Sq, Providence, RI 02918 Phone: 607-222-0708 |
Paul Gauvin, P.T. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 790 N Main St, Providence, RI 02904 Phone: 401-272-3600 |
Dr. Jon A Mukand, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 21 Peace St, Providence, RI 02907 Phone: 401-456-4409 |
Alexandra Irene Gundersen, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St Ste 7a, Providence, RI 02903 Phone: 401-444-8732 |
Dr. Claudia Ann Wheeler, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 765 Allens Ave, Suite 110, Providence, RI 02905 Phone: 401-606-4150 Fax: 401-270-4681 |
Dr. Gabriel Abella, M. D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 455 Douglas Ave, Providence, RI 02908 Phone: 201-654-6397 |
Dr. Jerrold N Rosenberg, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 827 N Main St, Suite 6, Providence, RI 02904 Phone: 401-453-5030 Fax: 401-453-5033 |