| Jane Louise Eisen, MD | |
|
345 Blackstone Blvd, Providence, RI 02906-4800 | |
| (401) 455-6200 | |
| (401) 455-6309 |
| Full Name | Jane Louise Eisen |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 345 Blackstone Blvd, 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 |
|---|---|---|---|
| 1477567139 | NPI | - | NPPES |
| 1093831646 | Other | BUTLER HOSPITAL PROFESSIONAL BILLING OFFICE NPI | |
| 6318-9 | Other | RI | BLUE CROSS |
| 15-11249 | Other | RI | UNITED BEHAVIORAL HEALTH |
| 400557 | Other | RI | BLUE CHIP |
| 1104801349 | Other | BUTLER HOSPITAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD06869 (Rhode Island) | Primary |
| Entity Name | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033482518 PECOS PAC ID: 2264691070 Enrollment ID: O20120927000155 |
| Entity Name | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104295716 PECOS PAC ID: 4486955267 Enrollment ID: O20151221001450 |
| Entity Name | Mccd Psychiatry Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033750823 PECOS PAC ID: 4082049036 Enrollment ID: O20200121001374 |
| Mailing Address | Practice Location Address |
|---|---|
| Jane Louise Eisen, MD 345 Blackstone Blvd, Providence, RI 02906-4800 Ph: (401) 455-6200 | Jane Louise Eisen, MD 345 Blackstone Blvd, Providence, RI 02906-4800 Ph: (401) 455-6200 |
Dr. Dana Siperstein, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 167 Point St, Providence, RI 02903 Phone: 401-793-8808 Fax: 401-793-8851 | |
Giuseppe Salvatore D'amelio Iv, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 35 S Angell St Ste 8, Providence, RI 02906 Phone: 401-753-8821 | |
Eugenie Atallah, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-606-2645 Fax: 401-606-4386 | |
Dr. Luisa Skoble, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5448 Fax: 401-444-6119 | |
Arnaldo A Berges, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Jane Brown 5s, Providence, RI 02903 Phone: 401-444-5448 Fax: 401-444-6119 | |
Sharath Ponnappa Puttichanda, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 345 Blackstone Blvd, Providence, RI 02906 Phone: 401-455-6346 Fax: 401-455-6532 | |
Loreen Phyllis Carol Pirnie, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5448 |