Dr Lisa Lovas Bakhos, MD | |
593 Eddy St, Providence, RI 02903-4923 | |
(401) 519-1604 | |
(401) 272-0538 |
Full Name | Dr Lisa Lovas Bakhos |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 593 Eddy St, 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 |
---|---|---|---|
1902932767 | NPI | - | NPPES |
07282008 | Other | RI | BCBSRI |
12/29/2008 | Other | MA | TUFTS HEALTH PLAN |
12292008 | Other | RI | TUFTS |
LB69118 | Medicaid | RI | |
04/15/2009 | Other | RI | UNITED HEALTHCARE |
007059893 | Other | RI | MEDICARE |
1962455022 | Other | RI | UEMF GROUP NPI |
1902932767 | Other | RI | NPI |
2146533 | Other | MA | MA MEDICAID |
939025129 | Other | RI | UEMF GROUP RI MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | L-221687 (Massachusetts) | Secondary |
208000000X | Pediatrics | MD12383 (Rhode Island) | Primary |
Entity Name | Barron Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790736940 PECOS PAC ID: 8820083785 Enrollment ID: O20040419001416 |
Mailing Address | Practice Location Address |
---|---|
Dr Lisa Lovas Bakhos, MD Po Box 9484, Providence, RI 02940-9484 Ph: (401) 854-2500 | Dr Lisa Lovas Bakhos, MD 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 519-1604 |
Sara Regan Ford, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1 Hoppin St, Coro Center Suite 304, Providence, RI 02903 Phone: 401-444-4612 Fax: 401-793-8831 | |
Jennifer F Friedman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Lower Level, Providence, RI 02903 Phone: 401-444-4471 Fax: 401-444-3870 | |
Jason Shapiro, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088 | |
Dr. Mikhaela Monty, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4471 Fax: 401-444-7574 | |
Dale Steele, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903 Phone: 401-854-2504 Fax: 401-854-2519 | |
Chase B Samsel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088 | |
Adebimpe Olubusayo Adewusi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Porter 005, Providence, RI 02903 Phone: 401-444-2877 Fax: 401-444-3804 |