| Primary Care Medical Associates Of Cranston Inc | |
|
1596 Broad St Cranston RI 02905-4130 | |
| (401) 461-5400 | |
| (401) 461-9039 |
| Full Name | Primary Care Medical Associates Of Cranston Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1596 Broad St, Cranston, Rhode Island |
| Authorized Official Name and Position | Elizabeth G Dejesus (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4014615400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Medical Associates Of Cranston Inc 1596 Broad St Cranston RI 02905-4130 Ph: (401) 461-5400 | Primary Care Medical Associates Of Cranston Inc 1596 Broad St Cranston RI 02905-4130 Ph: (401) 461-5400 |
| NPI Number | 1346307485 |
|---|---|
| Provider Enumeration Date | 01/01/2007 |
| Last Update Date | 03/01/2016 |
| Medicare PECOS PAC ID | 8729974266 |
|---|---|
| Medicare Enrollment ID | O20040223001075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346307485 | NPI | - | NPPES |
| PC54016 | Medicaid | RI | |
| 2982 | Other | RI | NEIGHBORHOOD HEALTH |
| 469187 | Other | RI | TUFTS |
| 759600 | Other | RI | ADVANTRA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 10197 (Rhode Island) | Primary |
| Provider Name | Elizabeth G Dejesus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134206360 PECOS PAC ID: 8123914678 Enrollment ID: I20040223001124 |
Fallon & Horan Do Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1592 Broad St, Cranston, RI 02905 Phone: 401-467-3350 | |
Park Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 Park Ave, Cranston, RI 02905 Phone: 800-927-0002 | |
Roberto Ortiz M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 Reservoir Ave, Cranston, RI 02910 Phone: 401-943-9791 Fax: 401-943-1071 | |
Medicine And Long Term Care Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 333 Budlong Rd, Cranston, RI 02920 Phone: 401-943-4530 | |
Knightsville Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1681 Cranston St, Suite D, Cranston, RI 02920 Phone: 401-946-8446 Fax: 401-946-8340 | |
Kardous Primary Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1145 Reservoir Ave, Ste 301, Cranston, RI 02920 Phone: 401-946-5001 Fax: 401-946-5101 | |
Leonard A Mannarelli Ii, D.o. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 Atwood Ave, Cranston, RI 02920 Phone: 401-944-1748 Fax: 401-944-1746 |