Dr David A Edmonson, MD | |
101 Dudley St, Providence, RI 02905-2401 | |
(401) 274-1122 | |
(401) 453-7597 |
Full Name | Dr David A Edmonson |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 25 Years |
Location | 101 Dudley 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 |
---|---|---|---|
1750440699 | NPI | - | NPPES |
DE79127 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD11542 (Rhode Island) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Women & Infants Hospital Of Rhode Island | Providence, RI | Hospital |
Rhode Island Hospital | Providence, RI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Affinity Physicians Llc. | 0244413391 | 616 |
Entity Name | Affinity Physicians Llc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184944662 PECOS PAC ID: 0244413391 Enrollment ID: O20110326000053 |
Mailing Address | Practice Location Address |
---|---|
Dr David A Edmonson, MD 101 Dudley St, Pho Office, Providence, RI 02905-2401 Ph: (401) 274-1122 | Dr David A Edmonson, MD 101 Dudley St, Providence, RI 02905-2401 Ph: (401) 274-1122 |
Aileen Hsueh, Surgery Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088 | |
Liudmila Muraveika, Surgery Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5180 Fax: 401-444-6681 | |
Todd S Stafford, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 195 Collyer St Ste 302, Providence, RI 02904 Phone: 401-228-0633 Fax: 401-793-5171 | |
Chibueze Nwaiwu, MD Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5471 Fax: 401-444-4557 | |
Dr. Robert Ira Wolf, MD Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5180 | |
Abigail Case, MD Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5180 | |
Roberto M Vera, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088 |