| Robert Carrellas, | |
|
674 Aquidneck Ave, Middletown, RI 02842-5692 | |
| (401) 847-9955 | |
| (401) 847-9948 |
| Full Name | Robert Carrellas |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 674 Aquidneck Ave, Middletown, 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 |
|---|---|---|---|
| 1417138850 | NPI | - | NPPES |
| 7002857 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8200 (Rhode Island) | Primary |
| Entity Name | Robert A. Carrellas, M.d, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619079852 PECOS PAC ID: 2163576406 Enrollment ID: O20090820000390 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Carrellas, 674 Aquidneck Ave, Middletown, RI 02842-5692 Ph: () - | Robert Carrellas, 674 Aquidneck Ave, Middletown, RI 02842-5692 Ph: (401) 847-9955 |
Kyung Chul Lee, M. D., Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 67 Valley Rd, Middletown, RI 02842 Phone: 401-847-4950 Fax: 401-847-5767 | |
Michelle A Boyle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 672 Aquidneck Ave, Middletown, RI 02842 Phone: 401-847-0519 Fax: 401-846-0283 | |
Dr. Julia Resil, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 99 E Main Rd Ste 19a, Middletown, RI 02842 Phone: 401-846-0055 Fax: 401-606-4510 | |
Donald A. Derolf, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 321 Vaucluse Ave, Middletown, RI 02842 Phone: 401-683-8895 Fax: 401-849-5780 | |
Leilani Dimond, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 672 Aquidneck Ave, Middletown, RI 02842 Phone: 401-847-0519 Fax: 401-846-0283 | |
Dr. Paul V Delguercio, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 672 Aquidneck Ave, Middletown, RI 02842 Phone: 401-847-0519 Fax: 401-846-0283 |