| Ibrahim Atanda Shode, | |
|
57 Villa Ave, North Providence, RI 02904-4421 | |
| (401) 663-8893 | |
| Not Available |
| Full Name | Ibrahim Atanda Shode |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 57 Villa Ave, North Providence, Rhode Island |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497561203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 113637-23 (New Hampshire) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Nh Medical Center | Nashua, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospitalist Medicine Physicians Of New York - Patchogue Pc | 6406183821 | 43 |
| Entity Name | Hospitalist Medicine Physicians Of New York - Patchogue Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366920993 PECOS PAC ID: 6406183821 Enrollment ID: O20230808001939 |
| Mailing Address | Practice Location Address |
|---|---|
| Ibrahim Atanda Shode, 57 Villa Ave, North Providence, RI 02904-4421 Ph: (401) 663-8893 | Ibrahim Atanda Shode, 57 Villa Ave, North Providence, RI 02904-4421 Ph: (401) 663-8893 |
Nola A Monti, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3136 Fax: 401-456-3228 | |
Lucille Buono, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 High Service Avenue, North Providence, RI 02904 Phone: 401-456-3136 Fax: 401-456-3621 | |
Karen Krause, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3136 Fax: 401-456-3621 | |
Michelle Eppel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 High Service Ave, Marian Hall, Suite 232, North Providence, RI 02904 Phone: 401-456-3136 Fax: 401-456-3228 | |
Mario N Sumilang, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3136 Fax: 401-456-3228 | |
Deirdre O'sullivan, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3136 Fax: 401-456-3621 | |
Maria Mariorenzi-barone, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 High Service Avenue, North Providence, RI 02904 Phone: 401-456-3136 Fax: 401-456-3621 |