| Dr Thach Pham, MD | |
|
2 Dudley St Ste 470, Providence, RI 02905-3248 | |
| (401) 553-8353 | |
| (401) 868-2308 |
| Full Name | Dr Thach Pham |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 20 Years |
| Location | 2 Dudley St Ste 470, Providence, 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 |
|---|---|---|---|
| 1518137223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 16605 (New Hampshire) | Secondary |
| 208600000X | Surgery | C145443 (California) | Secondary |
| 208600000X | Surgery | MD20757 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brown University Health Saint Anne's Hospital | Fall river, MA | Hospital |
| Rhode Island Hospital | Providence, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifespan Physician Group Inc | 2567455082 | 1151 |
| University Surgical Associates, Inc. | 4082503032 | 105 |
| Lifespan Physician Group Of Massachusetts Inc | 3870020399 | 458 |
| Entity Name | University Surgical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376589895 PECOS PAC ID: 4082503032 Enrollment ID: O20040818001275 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thach Pham, MD Landstuhl Regional Medical Center, Unit 33100, Apo, AE 09180-3100 Ph: (314) 590-5096 | Dr Thach Pham, MD 2 Dudley St Ste 470, Providence, RI 02905-3248 Ph: (401) 553-8353 |
Aileen Hsueh, Surgery Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088 |
Lars Stangenberg, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Dudley St, Suite 470, Providence, RI 02905 Phone: 401-553-8318 Fax: 401-868-2307 |
Todd S Stafford, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 195 Collyer St Ste 302, Providence, RI 02904 Phone: 401-228-0633 Fax: 401-793-5171 |
Abigail Case, MD Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5180 |
Dr. Carl Winkler, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 825 Chalkstone Ave, Providence, RI 02908 Phone: 212-523-4000 |
Edward J. Marcaccio Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Dudley St, Suite 470, Providence, RI 02905 Phone: 401-553-8318 Fax: 401-868-2307 |
Marcy Ellen Bernstein, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10 Dorrance St Ste 700, Providence, RI 02903 Phone: 954-399-4673 |