| Peter J Sardella, DPM | |
|
235 Plain Street, Suite 201, Providence, RI 02905-3240 | |
| (401) 861-8830 | |
| (401) 351-2378 |
| Full Name | Peter J Sardella |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 235 Plain Street, 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 |
|---|---|---|---|
| 1114019551 | NPI | - | NPPES |
| 7002816 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | DPM00267 (Rhode Island) | Primary |
| Provider Name | University Foot & Ankle Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437235017 PECOS PAC ID: 6406932177 Enrollment ID: O20080320000160 |
| Provider Name | Peter J Sardella Dpm Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396481610 PECOS PAC ID: 8820478381 Enrollment ID: O20221111000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter J Sardella, DPM 235 Plain Street, Suite 201, Providence, RI 02905-3240 Ph: (401) 861-8830 | Peter J Sardella, DPM 235 Plain Street, Suite 201, Providence, RI 02905-3240 Ph: (401) 861-8830 |
Courtny Johnson, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 825 Chalkstone Ave, Providence, RI 02908 Phone: 401-456-2000 | |
Dr. Joseph A Decesare, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 201 Broadway, Providence, RI 02903 Phone: 401-421-9167 Fax: 401-421-9193 | |
Rhode Island Hospital Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy Street, Providence, RI 02914 Phone: 401-606-4325 Fax: 401-444-6483 | |
Brian F Pontarelli, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 486 Silver Spring St, Providence, RI 02904 Phone: 401-751-2660 Fax: 401-751-9990 | |
Federal Hill Podiatry Group Podiatrist Medicare: Medicare Enrolled Practice Location: 201 Broadway, Providence, RI 02903 Phone: 401-421-9167 Fax: 401-421-9193 | |
Dr. Erik Haniuk, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7100 |