| Landmark Medical Of Rhode Island Pc | |
|
475 Kilvert St Ste 310 Warwick RI 02886-1360 | |
| (617) 420-5316 | |
| Not Available |
| Full Name | Landmark Medical Of Rhode Island Pc |
|---|---|
| Speciality | General Practice |
| Location | 475 Kilvert St Ste 310, Warwick, Rhode Island |
| Authorized Official Name and Position | Ronald Shumacher (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 6574005180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Landmark Medical Of Rhode Island Pc 7755 Center Ave Ste 630 Huntington Beach CA 92647-9152 Ph: (657) 400-5180 | Landmark Medical Of Rhode Island Pc 475 Kilvert St Ste 310 Warwick RI 02886-1360 Ph: (617) 420-5316 |
| NPI Number | 1548803729 |
|---|---|
| Provider Enumeration Date | 10/21/2019 |
| Last Update Date | 03/18/2025 |
| Medicare PECOS PAC ID | 8921431883 |
|---|---|
| Medicare Enrollment ID | O20191206000702 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548803729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Rayane Salerno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790100097 PECOS PAC ID: 9537380357 Enrollment ID: I20230620000793 |
| Provider Name | Andrea Davin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669958641 PECOS PAC ID: 2365786068 Enrollment ID: I20230620002907 |
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