| Paul Larson, | |
|
1500 Pontiac Ave Ste 101, Cranston, RI 02920-4486 | |
| (401) 944-4330 | |
| (401) 464-4071 |
| Full Name | Paul Larson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 1500 Pontiac Ave Ste 101, Cranston, 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 |
|---|---|---|---|
| 1952547424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD425506 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | MD17835 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Miriam Hospital | Providence, RI | Hospital |
| Rhode Island Hospital | Providence, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coastal Medical Physicians Inc | 0345658316 | 143 |
| Entity Name | Lifespan Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368 |
| Entity Name | Coastal Medical Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780273540 PECOS PAC ID: 0345658316 Enrollment ID: O20210427001413 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Larson, 117 Ellenfield St Ste 101, Providence, RI 02905-4541 Ph: (401) 444-6779 | Paul Larson, 1500 Pontiac Ave Ste 101, Cranston, RI 02920-4486 Ph: (401) 944-4330 |
Dr. Michael Damian Mccarten, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1540 Pontiac Ave, Cranston, RI 02920 Phone: 401-781-7000 Fax: 401-781-1062 | |
Dr. Mark Rosenberg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 Reservoir Ave, Suite 102, Cranston, RI 02910 Phone: 401-943-6910 Fax: 401-946-5130 | |
Jacob Martin Beane, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 712 Oaklawn Ave, Cranston, RI 02920 Phone: 401-944-0044 | |
Miss Madiha Amjad Ali, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 Reservoir Ave Ste 6a, Cranston, RI 02910 Phone: 401-942-2320 Fax: 401-942-2375 | |
Dr. Jeanne Wrean Swen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1660 Broad St, Cranston, RI 02905 Phone: 401-784-6963 Fax: 401-784-9087 | |
Jeffrey Wilson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 Reservoir Ave, Suite 102, Cranston, RI 02910 Phone: 401-943-6910 Fax: 401-946-5130 | |
Amity Rubeor, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 65 Sockanosset Cross Rd Ste 301, Cranston, RI 02920 Phone: 401-943-6910 Fax: 401-946-5130 |