| Stuart V Demirs Md Llc | |
|
4099 Old Post Rd Charlestown RI 02813-2553 | |
| (401) 364-0770 | |
| (401) 364-7694 |
| Full Name | Stuart V Demirs Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4099 Old Post Rd, Charlestown, Rhode Island |
| Authorized Official Name and Position | Stuart Demirs (OWNER) |
| Authorized Official Contact | 4013640770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stuart V Demirs Md Llc Po Box 910 Charlestown RI 02813-0901 Ph: (401) 364-0770 | Stuart V Demirs Md Llc 4099 Old Post Rd Charlestown RI 02813-2553 Ph: (401) 364-0770 |
| NPI Number | 1417515354 |
|---|---|
| Provider Enumeration Date | 06/05/2019 |
| Last Update Date | 05/12/2021 |
| Medicare PECOS PAC ID | 9739410408 |
|---|---|
| Medicare Enrollment ID | O20191010000555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417515354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Stuart V Demirs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285685560 PECOS PAC ID: 0446275663 Enrollment ID: I20051006000913 |
| Provider Name | Gina Cozzolino Mayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528185840 PECOS PAC ID: 4789782855 Enrollment ID: I20070613000545 |
Narragansett Indian Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4533 S County Trl, Charlestown, RI 02813 Phone: 401-364-1268 Fax: 401-364-6427 | |
Liberty Advanced Integrative Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3769 Old Post Rd, Charlestown, RI 02813 Phone: 401-854-7955 | |
Narragansett Indian Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 51 Old Mill Rd, Charlestown, RI 02813 Phone: 401-364-1268 Fax: 401-364-1030 |