| Dr Emilio Rodriguez-peris, MD | |
| 
					655 Broad Street, Suite 201, Providence, RI 02907  | |
| (401) 383-6748 | |
| Not Available | 
| Full Name | Dr Emilio Rodriguez-peris | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 655 Broad Street, 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 | 
|---|---|---|---|
| 1174619878 | NPI | - | NPPES | 
| ER48067 | Medicaid | RI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | MD 10391 (Rhode Island) | Secondary | 
| 207R00000X | Internal Medicine | MD10391 (Rhode Island) | Primary | 
| Entity Name | Wellness Connect Go Beyond Medicine Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1487203303 PECOS PAC ID: 7517381312 Enrollment ID: O20200727002841  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Emilio Rodriguez-peris, MD 655 Broad St, Providence, RI 02907-1444 Ph: (401) 226-6248  | Dr Emilio Rodriguez-peris, MD 655 Broad Street, Suite 201, Providence, RI 02907 Ph: (401) 383-6748  | 
Christopher Donald Palmer, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Dudley St, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7597  | |
Martha Catherine Trimbur, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 245 Chapman St Ste 300, Providence, RI 02905 Phone: 401-444-4741 Fax: 401-444-4445  | |
Karl Herman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Fain Bldg., Providence, RI 02906 Phone: 401-793-4489 Fax: 401-793-4047  | |
Muhammad Baig, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Fain Bldg, Providence, RI 02906 Phone: 401-793-4489 Fax: 401-793-4047  | |
Gary M Katzman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 208 Collyer Street, Suite 100, Providence, RI 02904 Phone: 401-793-7191 Fax: 401-793-7200  | |
Thomas Fairweather Crain, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 401-793-4630  | |
James Atkinson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 401-793-4500  |