| Peter Richard Mello, PA-C, MPAS | |
|
118 Dudley St, Providence, RI 02905-2403 | |
| (401) 273-4155 | |
| (401) 273-4155 |
| Full Name | Peter Richard Mello |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 118 Dudley 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 |
|---|---|---|---|
| 1316210545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA00628 (Rhode Island) | Primary |
| 363AS0400X | Physician Assistant - Surgical | PA4326 (Massachusetts) | Secondary |
| Entity Name | Jordan Physician Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538145131 PECOS PAC ID: 1254321086 Enrollment ID: O20040514000167 |
| Entity Name | Bernard J Durante MD PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114024312 PECOS PAC ID: 3577539410 Enrollment ID: O20040902000665 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Richard Mello, PA-C, MPAS 7 Woodland Rd, Rochester, MA 02770-2224 Ph: (508) 954-4749 | Peter Richard Mello, PA-C, MPAS 118 Dudley St, Providence, RI 02905-2403 Ph: (401) 273-4155 |
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 |