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222 Jefferson Blvd Ste 4, Warwick, RI 02888-3847 | |
(401) 423-4433 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Pain Medicine - Pain Medicine |
Location | 222 Jefferson Blvd Ste 4, Warwick, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1063034767 | NPI | - | NPPES |
ACF01642 | Other | RI | OACF LICENSE |
Provider Name | Casey Lyn Beksha |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1205104122 PECOS PAC ID: 3678989753 Enrollment ID: I20210525001939 |
Mailing Address | Practice Location Address |
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222 Jefferson Blvd Ste 4, Warwick, RI 02888-3847 Ph: (401) 423-4433 | 222 Jefferson Blvd Ste 4, Warwick, RI 02888-3847 Ph: (401) 423-4433 |