Dr Edward J Gauthier, MD | |
1332 Smith St, North Providence, RI 02911-3303 | |
(401) 273-5277 | |
(401) 751-2980 |
Full Name | Dr Edward J Gauthier |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1332 Smith St, North Providence, 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 |
---|---|---|---|
1750475992 | NPI | - | NPPES |
64950RIH | Other | PILGRIM | |
7018 | Other | RI | BLUE CROSS/ BLUE SHIELD |
3421 | Other | RI | LICENSE |
000856 | Other | RI | BC/BS BLUECHIP |
9000701 | Medicaid | RI | |
0400505 | Other | UNITED HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 3421 (Rhode Island) | Primary |
Entity Name | Prospect Chartercare Sjhsri Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588089759 PECOS PAC ID: 7315179314 Enrollment ID: O20140722001928 |
Entity Name | Prospect Chartercare Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629493135 PECOS PAC ID: 0840416657 Enrollment ID: O20140730001883 |
Mailing Address | Practice Location Address |
---|---|
Dr Edward J Gauthier, MD Po Box 8879, Cranston, RI 02920-0879 Ph: (401) 572-3120 | Dr Edward J Gauthier, MD 1332 Smith St, North Providence, RI 02911-3303 Ph: (401) 273-5277 |
Joseph A Farina, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 185a High Service Ave, North Providence, RI 02904 Phone: 401-354-6050 Fax: 401-354-6052 | |
Mayumi Shoi Parker, NP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1637 Mineral Spring Ave Ste 107, North Providence, RI 02904 Phone: 401-354-4400 | |
Naftali Sabo, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 214 High Service Avenue, North Providence, RI 02904 Phone: 401-353-7370 Fax: 401-353-4385 | |
Dr. Denis E Moonan Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1515 Smith St, Suite N, North Providence, RI 02911 Phone: 401-353-0555 Fax: 401-353-7079 | |
Dr. Javid A Calcatti, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1635 Mineral Spring Ave Ste 203, Suite 305, North Providence, RI 02904 Phone: 401-438-1011 | |
Michael M Palatucci, PAC Internal Medicine Medicare: Medicare Enrolled Practice Location: 1637 Mineral Spring Ave, Suite 215, North Providence, RI 02904 Phone: 401-353-7330 Fax: 401-354-4760 | |
Dr. Angelo B Pharmakidis, M.D.,PH.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1637 Mineral Spring Ave, Suite 215, North Providence, RI 02904 Phone: 401-353-7330 Fax: 401-354-4760 |