| Sarah Anne Moore, | |
|
593 Eddy St, Providence, RI 02903 | |
| (401) 444-5795 | |
| (401) 444-6947 |
| Full Name | Sarah Anne Moore |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Location | 593 Eddy 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 |
|---|---|---|---|
| 1538620760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | A193401 (California) | Primary |
| 208800000X | Urology | LP04594 (Rhode Island) | Secondary |
| Entity Name | Genesis Healthcare Partners Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548567498 PECOS PAC ID: 2163606807 Enrollment ID: O20110405000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Anne Moore, 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 444-5795 | Sarah Anne Moore, 593 Eddy St, Providence, RI 02903 Ph: (401) 444-5795 |
Boris Gershman, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 195 Collyer St, Suite 201, Providence, RI 02904 Phone: 401-272-7799 Fax: 401-453-9078 | |
Daniel Isaac Sanford, MD Urology Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5795 | |
Simone Thavaseelan, Urology Medicare: Accepting Medicare Assignments Practice Location: 2 Dudley St Ste 185, Providence, RI 02905 Phone: 401-444-5795 | |
Prof. Stephen N. Rous, M.D. Urology Medicare: Medicare Enrolled Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7100 | |
Mark Sigman, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2 Dudley St, Suite 185, Providence, RI 02905 Phone: 401-421-0710 Fax: 401-421-0796 | |
Harry Michael Iannotti, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1165 N Main St, Ste. 200, Providence, RI 02904 Phone: 401-521-4333 Fax: 401-521-4377 | |
Dr. Barry Stephen Stein, MD Urology Medicare: Medicare Enrolled Practice Location: 2 Dudley St, Suite 174, Providence, RI 02905 Phone: 401-444-8577 |