Despoina Mavrommati, MD | |
900 Warren Ave Ste 400, East Providence, RI 02914-1430 | |
(401) 331-1221 | |
Not Available |
Full Name | Despoina Mavrommati |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 17 Years |
Location | 900 Warren Ave Ste 400, East Providence, Rhode Island |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659892289 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD17210 (Rhode Island) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southcoast Hospitals Group | Fall river, MA | Hospital |
The Miriam Hospital | Providence, RI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Coastal Medical Physicians Inc | 0345658316 | 150 |
Southcoast Physicians Group Inc | 0749171957 | 744 |
Entity Name | Coastal Medical Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780273540 PECOS PAC ID: 0345658316 Enrollment ID: O20210427001413 |
Mailing Address | Practice Location Address |
---|---|
Despoina Mavrommati, MD 10 Davol Sq Ste 400, Providence, RI 02903-4760 Ph: (401) 421-4000 | Despoina Mavrommati, MD 900 Warren Ave Ste 400, East Providence, RI 02914-1430 Ph: (401) 331-1221 |
Matthew J Franco, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Warren Ave, Suite 401, East Providence, RI 02914 Phone: 800-508-4908 Fax: 401-228-6236 | |
Mr. Michael F Gilson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 950 Warren Ave, 2nd Floor, East Providence, RI 02914 Phone: 401-606-1004 Fax: 401-606-1153 | |
Dr. Christopher Song, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 950 Warren Ave, East Providence, RI 02914 Phone: 401-606-1004 Fax: 401-606-1153 | |
Dr. Ricardo Rafael Correa Marquez, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: 900 Warren Avenue, Suite 300, East Providence, RI 02914 Phone: 786-246-5719 | |
May Min, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 950 Warren Ave Ste 301, East Providence, RI 02914 Phone: 401-606-4260 | |
Prerna Ganjoo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 318 Waterman Ave, East Providence, RI 02914 Phone: 401-438-5950 Fax: 401-435-6700 | |
Mordecai Jeremiah Stolk, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 318 Waterman Ave, East Providence, RI 02914 Phone: 401-438-5950 Fax: 401-435-6700 |