Dr Nicklas B Oldenburg, MD | |
825 N Main St, Providence, RI 02904-5707 | |
(401) 521-9700 | |
(401) 751-1686 |
Full Name | Dr Nicklas B Oldenburg |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 29 Years |
Location | 825 N Main 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 |
---|---|---|---|
1801899760 | NPI | - | NPPES |
920007190 | Other | RI | RR MEDICARE |
110000497A | Medicaid | MA | |
7009934 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 10931 (Rhode Island) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Miriam Hospital | Providence, RI | Hospital |
Rhode Island Hospital | Providence, RI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Brown Urology, Inc. | 7810254513 | 28 |
Radiation Oncology Associates, Inc. | 9335190446 | 3 |
Entity Name | Radiation Oncology Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376546267 PECOS PAC ID: 9335190446 Enrollment ID: O20151030001436 |
Entity Name | Brown Urology, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467973099 PECOS PAC ID: 7810254513 Enrollment ID: O20171206000082 |
Mailing Address | Practice Location Address |
---|---|
Dr Nicklas B Oldenburg, MD 825 N Main St, Providence, RI 02904-5707 Ph: (401) 521-9700 | Dr Nicklas B Oldenburg, MD 825 N Main St, Providence, RI 02904-5707 Ph: (401) 521-9700 |
Lars Stangenberg, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2 Dudley St, Suite 470, Providence, RI 02905 Phone: 401-553-8318 Fax: 401-868-2307 | |
Kara Lynne Leonard, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Rih Radiation Oncology, Providence, RI 02903 Phone: 401-444-8311 Fax: 401-444-5335 | |
Michael Low Cardenas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 825 N Main St, Providence, RI 02904 Phone: 774-279-0884 | |
Earle O Assanah, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5174 | |
Glenn A Tung, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4000 | |
Sarah-kim Shields, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Radiology, Providence, RI 02903 Phone: 401-444-2133 Fax: 401-444-5017 | |
Sean O'neill, MD Radiology Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5127 Fax: 401-444-3056 |