Andrew Marc Tareila, MD | |
593 Eddy St, Providence, RI 02903-4923 | |
(401) 444-5127 | |
(401) 444-3056 |
Full Name | Andrew Marc Tareila |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 593 Eddy St, Providence, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891288627 | NPI | - | NPPES |
LP04344 | Other | RI | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD17185 (Rhode Island) | Primary |
Entity Name | Lgh Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174698385 PECOS PAC ID: 3173626751 Enrollment ID: O20070320000453 |
Entity Name | Merrimack Radiology-cra Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275871154 PECOS PAC ID: 8426287269 Enrollment ID: O20140128000095 |
Entity Name | Mw Radiology-cra Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114555398 PECOS PAC ID: 6406270040 Enrollment ID: O20200716000148 |
Entity Name | Tmc Radiology Cra Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851046726 PECOS PAC ID: 4486041746 Enrollment ID: O20220505000580 |
Mailing Address | Practice Location Address |
---|---|
Andrew Marc Tareila, MD 125 Metro Center Blvd, Warwick, RI 02886-1768 Ph: (401) 432-2500 | Andrew Marc Tareila, MD 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 444-5127 |
Lars Stangenberg, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2 Dudley St, Suite 470, Providence, RI 02905 Phone: 401-553-8318 Fax: 401-868-2307 | |
Kara Lynne Leonard, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Rih Radiation Oncology, Providence, RI 02903 Phone: 401-444-8311 Fax: 401-444-5335 | |
Michael Low Cardenas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 50 Maude St, Providence, RI 02908 Phone: 401-456-2369 Fax: 401-456-6540 | |
Earle O Assanah, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5174 | |
Glenn A Tung, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4000 | |
Sarah-kim Shields, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Radiology, Providence, RI 02903 Phone: 401-444-2133 Fax: 401-444-5017 | |
Sean O'neill, MD Radiology Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5127 Fax: 401-444-3056 |