| Erika Ebane Mengalle, DO | |
|
593 Eddy St, Providence, RI 02903-4923 | |
| (401) 444-3985 | |
| Not Available |
| Full Name | Erika Ebane Mengalle |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 593 Eddy St, 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 |
|---|---|---|---|
| 1518427376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | DO01166 (Rhode Island) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 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 |
|---|---|
| Erika Ebane Mengalle, DO 117 Ellenfield St Ste 101, Providence, RI 02905-4541 Ph: () - | Erika Ebane Mengalle, DO 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 444-3985 |
Dr. Nabila Kabir Mazumder, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 401-793-2104 Fax: 423-793-4047 | |
Hassan Ziud, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-3985 Fax: 401-444-3986 | |
Dr. Syed M. Yunus Raza Naqvi, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 401-793-4489 | |
Lloyd Patashnick, MD Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 401-793-4489 Fax: 401-793-4047 | |
Dr. Nadeem Anis, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave., Providence, RI 02906 Phone: 401-793-2104 Fax: 401-793-4047 | |
Dr. Debbie Teodorescu, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4741 Fax: 401-444-4445 | |
Ambrish Jha, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 401-793-4489 Fax: 401-793-4047 |