| Federico Gomez Bernal, MD | |
|
950 Warren Ave Ste 104, East Providence, RI 02914-1432 | |
| (401) 606-3711 | |
| (401) 606-3712 |
| Full Name | Federico Gomez Bernal |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 950 Warren Ave Ste 104, East 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 |
|---|---|---|---|
| 1881191765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 68756 (Connecticut) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD19158 (Rhode Island) | Primary |
| Entity Name | Lifespan Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548506793 PECOS PAC ID: 2567455082 Enrollment ID: O20130528000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Federico Gomez Bernal, MD 117 Ellenfield St Ste 101, Providence, RI 02905-4541 Ph: () - | Federico Gomez Bernal, MD 950 Warren Ave Ste 104, East Providence, RI 02914-1432 Ph: (401) 606-3711 |
Dr. Preeti Gupta, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trail, Suite 405b, East Providence, RI 02915 Phone: 401-526-0100 | |
Dr. Vladislav Zayas, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 450 Veterans Memorial Pkwy, Building 11, East Providence, RI 02914 Phone: 401-431-1860 Fax: 401-435-0328 | |
Dr. Kara Faye Curry, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 400 Massasoit Ave Ste 305, East Providence, RI 02914 Phone: 401-294-0451 Fax: 401-294-0461 | |
Dr. Eri Shoji, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1011 Veterans Memorial Parkway, East Providence, RI 79430 Phone: 401-432-1000 | |
Renee Hickey, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 450 Veterans Memorial Pkwy, Building 11, East Providence, RI 02914 Phone: 401-431-1860 Fax: 401-444-3205 | |
Dr. Norman Mervyn Gordon, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 450 Veterans Memorial Pkwy, Building 11, East Providence, RI 02914 Phone: 401-431-1860 Fax: 401-435-0328 | |
Karyn J Horowitz, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1011 Veterans Memorial Pkwy, East Providence, RI 02915 Phone: 401-432-1424 Fax: 401-432-1500 |