| Richard Renzi, MD | |
|
100 Kenyon Ave, Wakefield, RI 02879-4299 | |
| (401) 782-8000 | |
| Not Available |
| Full Name | Richard Renzi |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 100 Kenyon Ave, Wakefield, 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 |
|---|---|---|---|
| 1578579678 | NPI | - | NPPES |
| RR07053 | Medicaid | RI | |
| 1578579678 | Other | RI | NPI |
| 939025129 | Other | RI | RI MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD18266 (Maine) | Secondary |
| 207P00000X | Emergency Medicine | MD07004 (Rhode Island) | Primary |
| Entity Name | Silver Spring Health Care Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568555183 PECOS PAC ID: 4688661127 Enrollment ID: O20070126000580 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Renzi, MD C/o St Marys Health System - Provider Enrollment, Po Box 7291, Lewiston, ME 04243-7291 Ph: (207) 777-8560 | Richard Renzi, MD 100 Kenyon Ave, Wakefield, RI 02879-4299 Ph: (401) 782-8000 |
Jill Volk, D.O. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 401-782-8000 | |
Robert Crouse, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 508-675-7535 Fax: 508-675-7905 | |
Paul Tafone, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 508-675-7535 Fax: 508-675-7905 | |
Dr. James V Costello, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 401-782-8000 | |
Emily Colyer, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 401-782-8000 | |
Timothy Drury, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 508-675-7535 Fax: 508-675-7905 | |
Sean Kyle Daniels, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 401-782-8000 |