| Dr Babak Ettekal, MD | |
|
14 Woodruff Ave Ste 1, Narragansett, RI 02882-3467 | |
| (401) 789-8543 | |
| (401) 782-8766 |
| Full Name | Dr Babak Ettekal |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 14 Woodruff Ave Ste 1, Narragansett, 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 |
|---|---|---|---|
| 1548474778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A91050 (California) | Secondary |
| 207Q00000X | Family Medicine | MD16998 (Rhode Island) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri-county Community Action Agency | 0648171181 | 20 |
| Tri-county Community Action Agency | 0648171181 | 20 |
| Entity Name | Tri-county Community Action Agency |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396780086 PECOS PAC ID: 0648171181 Enrollment ID: O20040116000778 |
| Entity Name | Thundermist Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700041001 PECOS PAC ID: 1557270477 Enrollment ID: O20040211000909 |
| Entity Name | Osh - Ri Physicians Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063984813 PECOS PAC ID: 5193051936 Enrollment ID: O20190731002184 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Babak Ettekal, MD Po Box 229, Wakefield, RI 02880-0229 Ph: (401) 788-3929 | Dr Babak Ettekal, MD 14 Woodruff Ave Ste 1, Narragansett, RI 02882-3467 Ph: (401) 789-8543 |
Monica L Gross, MD, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 Kingstown Rd, Suite 104, Narragansett, RI 02882 Phone: 401-789-1086 Fax: 401-789-5344 | |
Dariusz Kostrzewa, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 Kingstown Rd, Suite 200, Narragansett, RI 02882 Phone: 401-783-6940 Fax: 401-792-3676 | |
Michael Jb Gonzalez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 Kingstown Rd, Suite 200, Narragansett, RI 02882 Phone: 401-783-6940 Fax: 401-792-3676 | |
Leah Briones, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 360 Kingstown Rd Ste 200, Narragansett, RI 02882 Phone: 401-783-6940 Fax: 401-792-3676 |