| Micah Small, AGNP-BC | |
|
475 Kilvert St, Warwick, RI 02886-1379 | |
| (401) 256-1967 | |
| Not Available |
| Full Name | Micah Small |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 475 Kilvert St, Warwick, 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 |
|---|---|---|---|
| 1831616861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN01665 (Rhode Island) | Primary |
| Entity Name | Concertocare Medical Group of Rhode Island PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982307609 PECOS PAC ID: 1759747868 Enrollment ID: O20230516001342 |
| Mailing Address | Practice Location Address |
|---|---|
| Micah Small, AGNP-BC 69 High St, Plainville, MA 02762-1801 Ph: (774) 306-1630 | Micah Small, AGNP-BC 475 Kilvert St, Warwick, RI 02886-1379 Ph: (401) 256-1967 |
Mrs. Jennifer Jennings, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-737-7010 Fax: 401-736-1972 |
Michelle L Fox, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 215 Toll Gate Rd Ste 104, Warwick, RI 02886 Phone: 401-921-7290 Fax: 401-921-6194 |
Sabrina O'donnell, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-737-7000 |
Jessica A Devine, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 171 Service Ave, Bldg 2, Floor 1, Warwick, RI 02886 Phone: 401-430-2000 Fax: 401-453-7597 |
Eunkyong Kwon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2348 Post Rd Ste 104, Warwick, RI 02886 Phone: 401-244-8335 |
Elena Pavlik Lvov, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3520 Post Rd, Warwick, RI 02886 Phone: 401-921-5800 Fax: 401-921-5826 |
Mr. Peter J Reilly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Bald Hill Rd, Suite 526, Warwick, RI 02886 Phone: 401-738-4323 Fax: 401-738-3857 |