J Gary Abuelo, MD | |
375 Wampanoag Trl, Suite 302a, Riverside, RI 02915-2232 | |
(401) 649-4060 | |
(401) 649-4061 |
Full Name | J Gary Abuelo |
---|---|
Gender | Male |
Speciality | Internal Medicine - Nephrology |
Location | 375 Wampanoag Trl, Riverside, 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 |
---|---|---|---|
1396797551 | NPI | - | NPPES |
6173721 | Medicaid | MA | |
9001946 | Medicaid | RI | |
390006588 | Other | RI | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | MD04807 (Rhode Island) | Primary |
Entity Name | Brown Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689626764 PECOS PAC ID: 0446159776 Enrollment ID: O20040219000354 |
Mailing Address | Practice Location Address |
---|---|
J Gary Abuelo, MD 17 Virginia Ave, Suite 107, Providence, RI 02905-4406 Ph: (401) 443-4992 | J Gary Abuelo, MD 375 Wampanoag Trl, Suite 302a, Riverside, RI 02915-2232 Ph: (401) 649-4060 |
Tonslyn Toure, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4090 Fax: 401-649-4091 | |
Jonathan A Leviss, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4020 Fax: 401-649-4021 | |
Thomas D Denucci, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 375 Wampanoag Trl, Suite 202a, Riverside, RI 02915 Phone: 401-649-4030 Fax: 401-649-4031 | |
Kristen Tillquist, DO Nephrology Medicare: Medicare Enrolled Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4070 Fax: 401-649-4071 | |
Reginald Y Gohh, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Suite 302a, Riverside, RI 02915 Phone: 401-649-4060 Fax: 401-649-4061 | |
Dr. Franklin D Mccool, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl Ste 302b, Riverside, RI 02915 Phone: 401-649-4070 Fax: 401-649-4071 | |
Dr. Lewena Maher, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4040 Fax: 401-649-4041 |