| Dr Denis E Moonan Jr, MD | |
|
1515 Smith St, Suite N, North Providence, RI 02911-2947 | |
| (401) 353-0555 | |
| (401) 353-7079 |
| Full Name | Dr Denis E Moonan Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 1515 Smith St, North Providence, 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 |
|---|---|---|---|
| 1386626174 | NPI | - | NPPES |
| 9002408 | Medicaid | RI | |
| 24088 | Other | RI | BLUE CROSS BLUE SHIELD |
| Entity Name | Prospect Chartercare Rwmc, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285059287 PECOS PAC ID: 0547492696 Enrollment ID: O20140728001672 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Denis E Moonan Jr, MD 1515 Smith St, Suite N, North Providence, RI 02911-2947 Ph: (401) 353-0555 | Dr Denis E Moonan Jr, MD 1515 Smith St, Suite N, North Providence, RI 02911-2947 Ph: (401) 353-0555 |
Joseph A Farina, M.D. Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 185a High Service Ave, North Providence, RI 02904 Phone: 401-354-6050 Fax: 401-354-6052 | |
Mayumi Shoi Parker, NP Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1637 Mineral Spring Ave Ste 107, North Providence, RI 02904 Phone: 401-354-4400 | |
Naftali Sabo, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 214 High Service Avenue, North Providence, RI 02904 Phone: 401-353-7370 Fax: 401-353-4385 | |
Dr. Javid A Calcatti, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1635 Mineral Spring Ave Ste 203, Suite 305, North Providence, RI 02904 Phone: 401-438-1011 | |
Michael M Palatucci, PAC Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 1637 Mineral Spring Ave, Suite 215, North Providence, RI 02904 Phone: 401-353-7330 Fax: 401-354-4760 | |
Dr. Frank Bruno D'alessandro, M.D. Geriatric Medicine Medicare: May Accept Medicare Assignments Practice Location: 1515 Smith St, North Providence, RI 02911 Phone: 401-353-1110 Fax: 401-353-1116 |