| Jack R Bevivino, MD | |
|
120 Dudley Street, Suite #201, Providence, RI 02905-2431 | |
| (401) 521-9290 | |
| (401) 521-9297 |
| Full Name | Jack R Bevivino |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 120 Dudley Street, Providence, Rhode Island |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780705707 | NPI | - | NPPES |
| 1300124 | Other | RI | UNITED HEALTH CARE |
| 9002112 | Medicaid | RI | |
| 21126 | Other | RI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | RIMD05259 (Rhode Island) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack R Bevivino, MD 120 Dudley Street, Suite #201, Providence, RI 02905-2431 Ph: (401) 521-9290 | Jack R Bevivino, MD 120 Dudley Street, Suite #201, Providence, RI 02905-2431 Ph: (401) 521-9290 |
Rachel Aileen Sullivan, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 235 Plain St Ste 203, Providence, RI 02905 Phone: 401-649-4901 Fax: 401-649-4903 | |
Damon Mcintire, Plastic Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4188 Fax: 401-444-4863 | |
James Weintrub, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 34 Barnes St, Providence, RI 02906 Phone: 401-274-2744 | |
Amy Claire Kite, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 235 Plain St Ste 203, Providence, RI 02905 Phone: 401-444-2701 | |
Dr. Solomon Swartz, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4188 | |
Jonathan P Brower, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 235 Plain St Ste 202, Providence, RI 02905 Phone: 401-425-5232 Fax: 401-425-5334 | |
Richard J Zienowicz, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 2 Dudley St, Ste 380, Providence, RI 02905 Phone: 401-453-0120 Fax: 401-453-0198 |