| Mr Mark Ryan Gauvin, MS, MSPAS, RD, PA-C | |
|
593 Eddy St, Providence, RI 02903-4923 | |
| (401) 444-4000 | |
| Not Available |
| Full Name | Mr Mark Ryan Gauvin |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 593 Eddy St, 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 |
|---|---|---|---|
| 1801332507 | NPI | - | NPPES |
| 110178471A | Other | MA | MASSHEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA01375 (Rhode Island) | Primary |
| 133V00000X | Dietitian, Registered | LDN00892 (Rhode Island) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Miriam Hospital | Providence, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifespan Physician Group Inc | 2567455082 | 1151 |
| Entity Name | Emergency Physician Associates of New England PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427381052 PECOS PAC ID: 9931236395 Enrollment ID: O20100416000541 |
| Entity Name | Emergency Care Services of New England PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639537335 PECOS PAC ID: 9739487562 Enrollment ID: O20160412001747 |
| Entity Name | Lifespan Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285191163 PECOS PAC ID: 2567455082 Enrollment ID: O20190603001535 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Ryan Gauvin, MS, MSPAS, RD, PA-C 15 La Salle Sq, Providence, RI 02903-1814 Ph: (401) 444-6779 | Mr Mark Ryan Gauvin, MS, MSPAS, RD, PA-C 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 444-4000 |
Miss Celia Cordeiro, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 450 Brook St, Providence, RI 02906 Phone: 401-863-3953 |
Kelsey Heck, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 593 Eddy St., Claverick 2, Providence, RI 02903 Phone: 401-444-4000 |
Bret Caulfield, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4000 |
Mr. Nicholas Ryan Lamberton, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1076 N Main St, Providence, RI 02904 Phone: 401-861-7711 Fax: 401-421-5710 |
Ms. Karen Lynn Steinmetz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Suite 814, Providence, RI 02903 Phone: 401-444-5891 Fax: 401-444-8158 |
Klaudia Maria Szmacinski, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8 Abbott Park Pl, Providence, RI 02903 Phone: 401-598-2381 |
Linhuang Han, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Main 4, Providence, RI 02903 Phone: 401-444-7085 |