| Lisa Grady, DO | |
|
101 Dudley St, Providence, RI 02905-2401 | |
| (401) 274-1122 | |
| Not Available |
| Full Name | Lisa Grady |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 101 Dudley St, 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 |
|---|---|---|---|
| 1518351832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | DO00945 (Rhode Island) | Primary |
| 208000000X | Pediatrics | 274281 (Massachusetts) | Secondary |
| Entity Name | Mercy Inpatient Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407845282 PECOS PAC ID: 7416846977 Enrollment ID: O20040312000517 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Grady, DO 101 Dudley St, Providence, RI 02905-2499 Ph: Not Available | Lisa Grady, DO 101 Dudley St, Providence, RI 02905-2401 Ph: (401) 274-1122 |
Sara Regan Ford, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1 Hoppin St, Coro Center Suite 304, Providence, RI 02903 Phone: 401-444-4612 Fax: 401-793-8831 |
Jennifer F Friedman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Lower Level, Providence, RI 02903 Phone: 401-444-4471 Fax: 401-444-3870 |
Jason Shapiro, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088 |
Dr. Mikhaela Monty, M.D. Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4471 Fax: 401-444-7574 |
Rudiger C. Ramlal, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Warren Way, Providence, RI 02905 Phone: 401-444-0530 Fax: 401-444-0423 |
Lala Mammadova, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 111 Plain St, Providence, RI 02903 Phone: 401-793-8100 |
Natalia Lukankina, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4515 |