| Kevin P O'connell, MD | |
|
200 High Service Ave, North Providence, RI 02904-5113 | |
| (401) 456-3000 | |
| Not Available |
| Full Name | Kevin P O'connell |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 200 High Service Ave, North 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 |
|---|---|---|---|
| 1447225941 | NPI | - | NPPES |
| 7004850 | Medicaid | RI | |
| 29622-3 | Other | RI | BLUECROSS BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD08915 (Rhode Island) | Primary |
| Entity Name | Emergency Physician Associates Of New England Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427381052 PECOS PAC ID: 9931236395 Enrollment ID: O20100416000541 |
| Entity Name | Emergency Associates Of Woonsocket Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912342528 PECOS PAC ID: 6002050648 Enrollment ID: O20130920000246 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin P O'connell, MD 175 Lang Dr, North Kingstown, RI 02852-3415 Ph: (401) 294-6915 | Kevin P O'connell, MD 200 High Service Ave, North Providence, RI 02904-5113 Ph: (401) 456-3000 |
Paul Dionisopoulos, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1637 Mineral Spring Ave, North Providence, RI 02904 Phone: 401-353-1012 Fax: 401-353-6362 | |
Debra L. Dale-walek, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3000 | |
Carolyn K. Mcgrath, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3000 | |
Diane M. Reali Marini, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3000 | |
Susan D Casper, PA Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3000 | |
Dr. David Julian Goldstein, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3402 |