Andrew Sucov, MD | |
593 Eddy St, Claverick 2, Providence, RI 02903-4923 | |
(401) 519-1604 | |
(401) 272-0538 |
Full Name | Andrew Sucov |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 36 Years |
Location | 593 Eddy St, Providence, Rhode Island |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841206976 | NPI | - | NPPES |
3186865 | Medicaid | MA | |
10/01/2007 | Other | RI | BCBS |
1841206976 | Other | RI | NPI |
04/15/2009 | Other | RI | UNITED HEALTHCARE |
12/29/2008 | Other | MA | TUFTS HEALTH PLAN |
7006553 | Medicaid | RI | |
12/14/2006 | Other | RI | NHPRI |
939025129 | Other | RI | RI MEDICARE GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD07984 (Rhode Island) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Anne's Hospital | Fall river, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Steward Emergency Physicians Inc | 0244401404 | 144 |
Entity Name | Steward St. Annes Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1295027134 PECOS PAC ID: 3678760493 Enrollment ID: O20110912000586 |
Entity Name | Steward Emergency Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780971275 PECOS PAC ID: 0244401404 Enrollment ID: O20110919000768 |
Mailing Address | Practice Location Address |
---|---|
Andrew Sucov, MD Po Box 9484, Providence, RI 02940-9484 Ph: (401) 854-2500 | Andrew Sucov, MD 593 Eddy St, Claverick 2, Providence, RI 02903-4923 Ph: (401) 519-1604 |
Dr. Robert A Partridge, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903 Phone: 401-519-1604 Fax: 401-272-0538 | |
Dr. Gregory R Lockhart, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903 Phone: 401-444-4000 Fax: 401-427-7795 | |
Ian M Jacobson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 825 Chalkstone Ave, Providence, RI 02908 Phone: 330-493-4443 | |
Dr. Daniel Shanin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St., Claverick 2, Providence, RI 02903 Phone: 401-444-4000 | |
Dr. Oriane Diana Longerstaey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 704-355-3181 | |
Rachel Smith Shain, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-6489 Fax: 401-444-6662 | |
Otto Liebmann, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903 Phone: 401-519-1604 Fax: 401-272-0538 |