Mr Mark Ryan Gauvin, MS, MSPAS, RD, PA-C is a medicare enrolled "Physician Assistant" provider in Middletown, Rhode Island. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Lifespan Physician Group Inc and his current practice location is
1360 W Main Rd, Middletown, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(401) 606-3111.
Mr Mark Ryan Gauvin is licensed to practice in Rhode Island (license number PA01375) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801332507.
Healthcare Provider's Profile
| Full Name | Mr Mark Ryan Gauvin |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 1360 W Main Rd, Middletown, Rhode Island |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Mark Ryan Gauvin graduated from medical school in 2021
NPI Data:
- NPI Number: 1801332507
- Provider Enumeration Date: 01/18/2017
- Last Update Date: 09/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 1850789728
- Enrollment ID: I20211026001241
Medical Identifiers
Medical identifiers for Mr Mark Ryan Gauvin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801332507 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | LDN00892 (Rhode Island) | Secondary |
| 363A00000X | Physician Assistant | PA01375 (Rhode Island) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lifespan Physician Group Inc | 2567455082 | 634 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mark Ryan Gauvin is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Mark Ryan Gauvin, MS, MSPAS, RD, PA-C
1360 W Main Rd,
Middletown, RI 02842-6301
Ph: (401) 606-3111 | Mr Mark Ryan Gauvin, MS, MSPAS, RD, PA-C
1360 W Main Rd,
Middletown, RI 02842-6301
Ph: (401) 606-3111 |
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