| Patricia Maria Russo-magno, MD | |
|
2090 Wallum Lake Rd, Pascoag, RI 02859-1813 | |
| (401) 567-5400 | |
| Not Available |
| Full Name | Patricia Maria Russo-magno |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Critical Care Medicine |
| Location | 2090 Wallum Lake Rd, Pascoag, 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 |
|---|---|---|---|
| 1184609422 | NPI | - | NPPES |
| 7008358 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | MD10353 (Rhode Island) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | MD10353 (Rhode Island) | Primary |
| Entity Name | Southern Rhode Island Pulmonary And Critical Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922400100 PECOS PAC ID: 7810203619 Enrollment ID: O20150824001882 |
| Entity Name | Silver Spring Health Care Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295105294 PECOS PAC ID: 4688661127 Enrollment ID: O20151215002699 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Maria Russo-magno, MD 2090 Wallum Lake Rd, Pascoag, RI 02859-1813 Ph: (401) 729-2890 | Patricia Maria Russo-magno, MD 2090 Wallum Lake Rd, Pascoag, RI 02859-1813 Ph: (401) 567-5400 |
Dr. Steven Alan Hokeness, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 36 Bridge Way, Pascoag, RI 02859 Phone: 401-568-7661 Fax: 401-568-7949 | |
Purvi Chokshi, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 2090 Wallum Lake Road, Pascoag, RI 02859 Phone: 401-567-5400 | |
Dr. Michele Marie Paquet, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 2090 Wallum Lake Rd, Pascoag, RI 02859 Phone: 401-567-5400 Fax: 401-567-4010 | |
Dr. Normand Louis Decelles Jr., M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 2090 Wallum Lake Rd, Eleanor Slater Hospital / Zambarano Unit, Pascoag, RI 02859 Phone: 401-567-5400 Fax: 401-567-4001 | |
Bette Jean Gillerin, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 2090 Wallum Lake Rd, Pascoag, RI 02859 Phone: 401-567-5400 |