| Crystal Moio, | |
|
59 S County Commons Way Unit H3, Wakefield, RI 02879-8201 | |
| (401) 783-0084 | |
| (401) 782-0005 |
| Full Name | Crystal Moio |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 59 S County Commons Way Unit H3, Wakefield, 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 |
|---|---|---|---|
| 1568294874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN04164 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South County Hospital Inc | Wakefield, RI | Hospital |
| The Miriam Hospital | Providence, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coastal Medical Physicians Inc | 0345658316 | 143 |
| Entity Name | Coastal Medical Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780273540 PECOS PAC ID: 0345658316 Enrollment ID: O20210427001413 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Moio, 15 La Salle Sq, Providence, RI 02903-1814 Ph: (401) 444-6779 | Crystal Moio, 59 S County Commons Way Unit H3, Wakefield, RI 02879-8201 Ph: (401) 783-0084 |
Diane Mckeeff, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Cherry Ln, Suite 1b, Wakefield, RI 02879 Phone: 401-789-7137 Fax: 401-685-0420 | |
Mr. Robert Desrosiers, APRN NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 Main St, Store # 2065, Wakefield, RI 02879 Phone: 401-783-3384 | |
Mrs. Mollie Jean Garrison, AG-ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 401-782-8000 | |
Caroline H. Jenckes, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 401-788-1590 | |
Ms. Jill Susan Iacono, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Cherry Ln Ste 1b, Wakefield, RI 02879 Phone: 401-284-4555 | |
Gianna Delgado, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 River St, Wakefield, RI 02879 Phone: 401-783-0523 | |
Karen Ann Soderberg-gomez, RNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 401-788-1638 Fax: 401-782-9892 |