Elizabeth J Renaud, MD | |
2 Dudley St Ste 190, Providence, RI 02905-3248 | |
(401) 228-0555 | |
(401) 868-2319 |
Full Name | Elizabeth J Renaud |
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Gender | Female |
Speciality | Surgery - Pediatric Surgery |
Location | 2 Dudley St Ste 190, 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 |
---|---|---|---|
1881715944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | 262737 (New York) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | MD16025 (Rhode Island) | Primary |
Entity Name | University Surgical Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376589895 PECOS PAC ID: 4082503032 Enrollment ID: O20101025000775 |
Mailing Address | Practice Location Address |
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Elizabeth J Renaud, MD Po Box 16149, Rumford, RI 02916-0697 Ph: (401) 453-9625 | Elizabeth J Renaud, MD 2 Dudley St Ste 190, Providence, RI 02905-3248 Ph: (401) 228-0555 |
Aileen Hsueh, Surgery Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088 | |
Liudmila Muraveika, Surgery Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5180 Fax: 401-444-6681 | |
Todd S Stafford, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 195 Collyer St Ste 302, Providence, RI 02904 Phone: 401-228-0633 Fax: 401-793-5171 | |
Chibueze Nwaiwu, MD Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5471 Fax: 401-444-4557 | |
Dr. Robert Ira Wolf, MD Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5180 | |
Abigail Case, MD Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5180 | |
Roberto M Vera, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088 |