Dr J Russell Corcoran, MD | |
70 Kenyon Ave, Suite 215, Wakefield, RI 02879-4239 | |
(401) 783-0084 | |
(401) 782-0005 |
Full Name | Dr J Russell Corcoran |
---|---|
Gender | Male |
Speciality | Internal Medicine - Geriatric Medicine |
Location | 70 Kenyon Ave, Wakefield, 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 |
---|---|---|---|
1689661241 | NPI | - | NPPES |
9002371 | Medicaid | RI | |
007056627 | Other | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | MD06582 (Rhode Island) | Primary |
208M00000X | Hospitalist | MD06582 (Rhode Island) | Secondary |
Entity Name | Silver Spring Health Care Management Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528152691 PECOS PAC ID: 4688661127 Enrollment ID: O20070126000528 |
Entity Name | Silver Spring Health Care Management Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861561193 PECOS PAC ID: 4688661127 Enrollment ID: O20080124000678 |
Mailing Address | Practice Location Address |
---|---|
Dr J Russell Corcoran, MD 100 Kenyon Ave, Wakefield, RI 02879-4216 Ph: (401) 788-3929 | Dr J Russell Corcoran, MD 70 Kenyon Ave, Suite 215, Wakefield, RI 02879-4239 Ph: (401) 783-0084 |
Diane E Smith, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 401-782-8000 | |
Dr. John Jefferys Bandola, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 70 Kenyon Ave, Suite 326, Wakefield, RI 02879 Phone: 401-789-8543 Fax: 401-782-8766 | |
Dr. Aaron Weisbord, M.D. Geriatric Medicine Medicare: May Accept Medicare Assignments Practice Location: 70 Kenyon Ave, Suite 321, Wakefield, RI 02879 Phone: 401-789-5770 Fax: 407-789-8530 | |
Dr. Robert Charles Kornas, M.D. Geriatric Medicine Medicare: May Accept Medicare Assignments Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 401-788-1590 Fax: 401-788-1593 | |
Sylvia Vania Alarcon Velasco, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 401-783-6670 Fax: 401-789-4990 | |
Dr. Judith M Gilmore, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Salt Pond Rd, Suite G2, Wakefield, RI 02879 Phone: 401-788-8940 Fax: 401-515-2670 | |
Merrilyn Jane Stevens, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 401-782-8000 |