Dr Steven Raymond Pezzullo, MD is a
General Practice physician based in Coventry, Rhode Island. Dr Steven Raymond Pezzullo is licensed to practice in Rhode Island (license number 5845) and his current practice location is 982 Tiogue Ave, Coventry, Rhode Island. He can be reached at his office (for appointments etc.) via phone at
(401) 821-6800.
NPI number for Dr Steven Raymond Pezzullo is 1336385350 and his current mailing address is 982 Tiogue Ave, Coventry, Rhode Island. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336385350.
Physician's Profile
| Full Name | Dr Steven Raymond Pezzullo |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Location | 982 Tiogue Ave, Coventry, Rhode Island |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336385350
- Provider Enumeration Date: 12/22/2008
- Last Update Date: 10/04/2010
Medical Identifiers
Medical identifiers for Dr Steven Raymond Pezzullo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336385350 | NPI | - | NPPES |
| 1336385350 | Other | | BLUE CROSS |
| 7003151 | Medicaid | RI | |
| 1336385350 | Other | | UNITED HEALTHCARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 5845 (Rhode Island) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Steven Raymond Pezzullo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Steven Raymond Pezzullo, MD
982 Tiogue Ave,
Coventry, RI 02816-6167
Ph: (401) 821-6800 | Dr Steven Raymond Pezzullo, MD
982 Tiogue Ave,
Coventry, RI 02816-6167
Ph: (401) 821-6800 |
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