Benilda Bayani Seballos, MD | |
450 Clinton St, Woonsocket, RI 02895-3207 | |
(401) 767-4100 | |
(401) 235-6899 |
Full Name | Benilda Bayani Seballos |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 450 Clinton St, Woonsocket, 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 |
---|---|---|---|
1598965444 | NPI | - | NPPES |
BS77822 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD13060 (Rhode Island) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Benilda Bayani Seballos, MD 450 Clinton St, Woonsocket, RI 02895-3207 Ph: (401) 767-4100 | Benilda Bayani Seballos, MD 450 Clinton St, Woonsocket, RI 02895-3207 Ph: (401) 767-4100 |
Mr. Matthew Michael Malek, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 Clinton St, Woonsocket, RI 02895 Phone: 401-767-4100 Fax: 401-235-6896 | |
Dr. Nithin Joseph Paul, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 Clinton St, Woonsocket, RI 02895 Phone: 401-615-2800 | |
Amber Cardoos, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 450 Clinton St, Woonsocket, RI 02895 Phone: 401-767-4100 | |
Linda J Berman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 Clinton St, Woonsocket, RI 02895 Phone: 401-767-4100 Fax: 401-235-6899 | |
Gabriel J Pleasants, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 Clinton St, Woonsocket, RI 02895 Phone: 401-767-4100 Fax: 401-235-6896 | |
Elisa Glubok Gonzalez, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 450 Clinton St, Woonsocket, RI 02895 Phone: 401-767-4100 | |
Elizabeth E Meyer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 450 Clinton St, Woonsocket, RI 02895 Phone: 401-767-4100 |