| Walter Deluca, PAC | |
|
684 Warren Ave, East Providence, RI 02914-1405 | |
| (401) 434-0022 | |
| (401) 434-6111 |
| Full Name | Walter Deluca |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 684 Warren Ave, East 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 |
|---|---|---|---|
| 1962598516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 289 (Montana) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA00002 (Rhode Island) | Primary |
| Entity Name | Primary Medical Center and Walk-in LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225444243 PECOS PAC ID: 1951521079 Enrollment ID: O20141013000467 |
| Entity Name | Primary Walk-in Medical Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790260974 PECOS PAC ID: 2668716937 Enrollment ID: O20181128001206 |
| Mailing Address | Practice Location Address |
|---|---|
| Walter Deluca, PAC 684 Warren Ave, East Providence, RI 02914-1405 Ph: (401) 434-0022 | Walter Deluca, PAC 684 Warren Ave, East Providence, RI 02914-1405 Ph: (401) 434-0022 |
Erin L Sharaf, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 450 Veterans Memorial Pkwy, Building 14, East Providence, RI 02914 Phone: 401-435-6625 Fax: 401-435-6694 |
Olivia Perry, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Kettle Point Ave, East Providence, RI 02914 Phone: 401-457-1500 |
Bonnie Cahill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 450 Veterans Memorial Pkwy # 15b, East Providence, RI 02914 Phone: 401-434-3350 Fax: 401-434-5230 |
Toby Fingeroth Weiser, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 73 Highland Ave Unit C, East Providence, RI 02914 Phone: 774-929-9100 Fax: 774-929-6290 |
Taylor Lynn Reall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 450 Veterans Memorial Pkwy Bldg 6, East Providence, RI 02914 Phone: 401-435-5533 |
Spenser Teresa Hull-rafferty, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Kettle Point Ave, East Providence, RI 02914 Phone: 401-457-1500 |
Kyra Gabow, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Kettle Point Ave, East Providence, RI 02914 Phone: 401-453-9032 |