Elizabeth Nestor, MD | |
593 Eddy St, Claverick 2, Providence, RI 02903-4923 | |
(401) 854-2504 | |
(401) 854-2519 |
Full Name | Elizabeth Nestor |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
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 |
---|---|---|---|
1255345179 | NPI | - | NPPES |
12/14/2006 | Other | RI | NHPRI |
12/29/2008 | Other | MA | TUFTS HEALTH PLAN |
203932 | Other | RI | BLUECHIP |
3186407 | Medicaid | MA | |
1255345179 | Other | RI | NPI |
7004162 | Medicaid | RI | |
930034387 | Other | RAILROAD MEDICARE | |
939025129 | Other | RI | RI MEDICARE GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD08710 (Rhode Island) | Primary |
Entity Name | Lifespan Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Nestor, MD Po Box 9484, Providence, RI 02940-9484 Ph: (401) 854-2500 | Elizabeth Nestor, MD 593 Eddy St, Claverick 2, Providence, RI 02903-4923 Ph: (401) 854-2504 |
Dr. Robert A Partridge, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903 Phone: 401-519-1604 Fax: 401-272-0538 | |
Dr. Gregory R Lockhart, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903 Phone: 401-444-4000 Fax: 401-427-7795 | |
Ian M Jacobson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 825 Chalkstone Ave, Providence, RI 02908 Phone: 330-493-4443 | |
Dr. Daniel Shanin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St., Claverick 2, Providence, RI 02903 Phone: 401-444-4000 | |
Dr. Oriane Diana Longerstaey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 704-355-3181 | |
Rachel Smith Shain, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-6489 Fax: 401-444-6662 | |
Otto Liebmann, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903 Phone: 401-519-1604 Fax: 401-272-0538 |