| Lauralyn B Cannistra, MD | |
|
131 Beechwood Avenue, Pawtucket, RI 02860 | |
| (401) 475-1999 | |
| (401) 475-6932 |
| Full Name | Lauralyn B Cannistra |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 131 Beechwood Avenue, Pawtucket, 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 |
|---|---|---|---|
| 1467413898 | NPI | - | NPPES |
| 007057418 | Other | RI | MEDICARE PTAN |
| 9006817 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 75195 (Massachusetts) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | MD08607 (Rhode Island) | Primary |
| Entity Name | Kent County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386643294 PECOS PAC ID: 2668377078 Enrollment ID: O20040628000569 |
| Entity Name | Heritage Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003982547 PECOS PAC ID: 5597862748 Enrollment ID: O20070522000720 |
| Entity Name | Affinity Physicians Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184944662 PECOS PAC ID: 0244413391 Enrollment ID: O20110326000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauralyn B Cannistra, MD 131 Beechwood Avenue, Pawtucket, RI 02860 Ph: (401) 475-1999 | Lauralyn B Cannistra, MD 131 Beechwood Avenue, Pawtucket, RI 02860 Ph: (401) 475-1999 |
Mahmoud Mowafy, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 111 Brewster St, Pawtucket, RI 02860 Phone: 401-729-2258 Fax: 401-729-3343 | |
Mriganka Singh, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 407 East Ave, Suite 110, Pawtucket, RI 02860 Phone: 401-728-7270 | |
Amber Gul, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 333 School St, Suite 210, Pawtucket, RI 02860 Phone: 401-726-9790 Fax: 401-728-8606 | |
Dr. Madhavi Yerneni, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 407 East Ave, Suite 120, Pawtucket, RI 02860 Phone: 401-725-4700 Fax: 401-725-4740 | |
Jaleh Fallah, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 111 Brewster St, Pawtucket, RI 02860 Phone: 401-729-2258 Fax: 401-729-3343 | |
Abraham Walusimbi, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 111 Brewster Street, Pawtucket, RI 02860 Phone: 401-729-2258 Fax: 401-729-3343 | |
Jeffrey Fredric Baron, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 101 Ferris St, Pawtucket, RI 02861 Phone: 401-727-1880 Fax: 401-729-1784 |