Jack R Bevivino, MD - Plastic Surgery in Providence, RI

Jack R Bevivino, MD is a Plastic Surgery physician based in Providence, Rhode Island. Jack R Bevivino is licensed to practice in Rhode Island (license number RIMD05259) and his current practice location is 120 Dudley Street, Suite #201, Providence, Rhode Island. He can be reached at his office (for appointments etc.) via phone at (401) 521-9290.

NPI number for Jack R Bevivino is 1780705707 and his current mailing address is 120 Dudley Street, Suite #201, Providence, Rhode Island. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780705707.

Contact Information

Jack R Bevivino, MD
120 Dudley Street, Suite #201,
Providence, RI 02905-2431
(401) 521-9290
(401) 521-9297

Map and Direction




Physician's Profile

Full NameJack R Bevivino
GenderMale
SpecialityPlastic Surgery
Location120 Dudley Street, Providence, Rhode Island
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780705707
  • Provider Enumeration Date: 04/03/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Jack R Bevivino such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780705707NPI-NPPES
1300124OtherRIUNITED HEALTH CARE
9002112MedicaidRI
21126OtherRIBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery RIMD05259 (Rhode Island)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack R Bevivino is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jack R Bevivino, MD
120 Dudley Street, Suite #201,
Providence, RI 02905-2431

Ph: (401) 521-9290
Jack R Bevivino, MD
120 Dudley Street, Suite #201,
Providence, RI 02905-2431

Ph: (401) 521-9290

Reviews and Comments


Plastic Surgery Doctors in Providence, RI

Rachel Aileen Sullivan, MD
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Practice Location: 235 Plain St Ste 203, Providence, RI 02905
Phone: 401-649-4901    Fax: 401-649-4903
Damon Mcintire,
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Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-4188    Fax: 401-444-4863
James Weintrub, M.D.
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Practice Location: 34 Barnes St, Providence, RI 02906
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Amy Claire Kite, M.D.
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Practice Location: 235 Plain St Ste 203, Providence, RI 02905
Phone: 401-444-2701    
Dr. Solomon Swartz, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-4188    
Jonathan P Brower, M.D.
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 235 Plain St Ste 202, Providence, RI 02905
Phone: 401-425-5232    Fax: 401-425-5334
Richard J Zienowicz, MD
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 2 Dudley St, Ste 380, Providence, RI 02905
Phone: 401-453-0120    Fax: 401-453-0198

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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