| Dr Odinaka C Anyanwu, MD | |
|
21 Division St, Pawtucket, RI 02860-5352 | |
| (401) 727-4800 | |
| (401) 921-6924 |
| Full Name | Dr Odinaka C Anyanwu |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 21 Division St, Pawtucket, 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 |
|---|---|---|---|
| 1053843482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD17165 (Rhode Island) | Primary |
| 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 | Blackstone Valley Community Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063574135 PECOS PAC ID: 8628045762 Enrollment ID: O20040916000775 |
| Entity Name | Prime Healthcare Services Landmark Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457772543 PECOS PAC ID: 3274761069 Enrollment ID: O20140404000644 |
| Entity Name | Prime Healthcare Services Landmark Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518388651 PECOS PAC ID: 3274761069 Enrollment ID: O20140428000588 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Odinaka C Anyanwu, MD 455 Toll Gate Road, Prc And Credentialing, Warwick, RI 02886-2759 Ph: (401) 273-0641 | Dr Odinaka C Anyanwu, MD 21 Division St, Pawtucket, RI 02860-5352 Ph: (401) 727-4800 |
Nelson Mendes, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 381 Pawtucket Ave, Pawtucket, RI 02860 Phone: 401-965-4382 | |
Sara Elizabeth Holmes, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 111 Brewster St, Pawtucket, RI 02860 Phone: 530-448-1740 | |
Dr. Ashley Michelle Lakin, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 Brewster St, Fcc C, Pawtucket, RI 02860 Phone: 401-729-2769 Fax: 401-729-2772 | |
Pauline Helene Lauper Bagatelas, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 111 Brewster St, Pawtucket, RI 02860 Phone: 401-729-2304 Fax: 401-729-2923 | |
Devon Paul Hughes, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 727 East Ave, Pawtucket, RI 02860 Phone: 401-725-6160 Fax: 401-722-5430 | |
Pearl Igwe, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 Brewster St, Pawtucket, RI 02860 Phone: 401-729-2206 Fax: 401-921-6962 |