| Rashmi S Licht, MD | |
|
450 Veterans Memorial Pkwy, Building 14, E Providence, RI 02914-5300 | |
| (401) 435-6600 | |
| Not Available |
| Full Name | Rashmi S Licht |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 23 Years |
| Location | 450 Veterans Memorial Pkwy, E Providence, Rhode Island |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164620548 | NPI | - | NPPES |
| 349005986 | Other | RI | MEDICARE GROUP PTAN |
| 33036 | Other | RI | BLUE SHIELD |
| RL67411 | Medicaid | RI | |
| MD12433 | Other | RI | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD12433 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Miriam Hospital | Providence, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brown Urology, Inc. | 7810254513 | 29 |
| Entity Name | Brown Urology, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467973099 PECOS PAC ID: 7810254513 Enrollment ID: O20171206000082 |
| Mailing Address | Practice Location Address |
|---|---|
| Rashmi S Licht, MD 450 Veterans Memorial Pkwy, Building 14, E Providence, RI 02914-5300 Ph: (401) 435-6600 | Rashmi S Licht, MD 450 Veterans Memorial Pkwy, Building 14, E Providence, RI 02914-5300 Ph: (401) 435-6600 |
Eric Bradley Miller, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 450 Veterans Memorial Pkwy, Building 14, E Providence, RI 02914 Phone: 401-435-6600 | |
Bernard A Moule, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 450 Veterans Memorial Pkwy, Building 14, E Providence, RI 02914 Phone: 401-435-6600 | |
Kennon Miller, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 450 Veterans Memorial Pkwy, Building 14, E Providence, RI 02914 Phone: 401-435-6600 |