| Dr Fadi Mansourati, MD | |
|
886 Mineral Spring Ave, Pawtucket, RI 02860-3322 | |
| (401) 475-3063 | |
| (401) 475-0593 |
| Full Name | Dr Fadi Mansourati |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 34 Years |
| Location | 886 Mineral Spring Ave, Pawtucket, Rhode Island |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548245962 | NPI | - | NPPES |
| 7006714 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD09843 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Women & Infants Hospital Of Rhode Island | Providence, RI | Hospital |
| Kent County Memorial Hospital | Warwick, RI | Hospital |
| The Miriam Hospital | Providence, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairlawn Primary Care Inc | 0941289375 | 2 |
| Entity Name | Fairlawn Primary Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508898909 PECOS PAC ID: 0941289375 Enrollment ID: O20040719000427 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fadi Mansourati, MD 886 Mineral Spring Ave, Pawtucket, RI 02860-3322 Ph: (401) 475-3063 | Dr Fadi Mansourati, MD 886 Mineral Spring Ave, Pawtucket, RI 02860-3322 Ph: (401) 475-3063 |
Mahmoud Mowafy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Brewster St, Pawtucket, RI 02860 Phone: 401-729-2258 Fax: 401-729-3343 | |
Mriganka Singh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 407 East Ave, Suite 110, Pawtucket, RI 02860 Phone: 401-728-7270 | |
Amber Gul, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 School St, Suite 210, Pawtucket, RI 02860 Phone: 401-726-9790 Fax: 401-728-8606 | |
Dr. Madhavi Yerneni, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 407 East Ave, Suite 120, Pawtucket, RI 02860 Phone: 401-725-4700 Fax: 401-725-4740 | |
Jaleh Fallah, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 Brewster St, Pawtucket, RI 02860 Phone: 401-729-2258 Fax: 401-729-3343 | |
Abraham Walusimbi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Brewster Street, Pawtucket, RI 02860 Phone: 401-729-2258 Fax: 401-729-3343 | |
Jeffrey Fredric Baron, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Ferris St, Pawtucket, RI 02861 Phone: 401-727-1880 Fax: 401-729-1784 |