David A Herec, MD | |
1275 Wampanoag Trl, Suite 200, Riverside, RI 02915-1217 | |
(401) 433-9880 | |
(401) 433-9838 |
Full Name | David A Herec |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1275 Wampanoag Trl, Riverside, 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 |
---|---|---|---|
1316984636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 50883 (Massachusetts) | Secondary |
207R00000X | Internal Medicine | MD05953 (Rhode Island) | Primary |
Entity Name | Medical Care Of Boston Management Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437196359 PECOS PAC ID: 6800787714 Enrollment ID: O20040322000778 |
Mailing Address | Practice Location Address |
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David A Herec, MD 17 Virginia Ave, Suite 107, Providence, RI 02905-4406 Ph: () - | David A Herec, MD 1275 Wampanoag Trl, Suite 200, Riverside, RI 02915-1217 Ph: (401) 433-9880 |
Tonslyn Toure, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4090 Fax: 401-649-4091 | |
Jonathan A Leviss, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4020 Fax: 401-649-4021 | |
Thomas D Denucci, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 375 Wampanoag Trl, Suite 202a, Riverside, RI 02915 Phone: 401-649-4030 Fax: 401-649-4031 | |
Kristen Tillquist, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4070 Fax: 401-649-4071 | |
Reginald Y Gohh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Suite 302a, Riverside, RI 02915 Phone: 401-649-4060 Fax: 401-649-4061 | |
Dr. Franklin D Mccool, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl Ste 302b, Riverside, RI 02915 Phone: 401-649-4070 Fax: 401-649-4071 | |
Dr. Lewena Maher, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4040 Fax: 401-649-4041 |