Jonah M Licht, MD | |
100 Highland Ave, Providence, RI 02906 | |
(401) 277-9729 | |
(401) 277-9730 |
Full Name | Jonah M Licht |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 25 Years |
Location | 100 Highland Ave, Providence, Rhode Island |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134192891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD12125 (Rhode Island) | Secondary |
207RN0300X | Internal Medicine - Nephrology | MD12125 (Rhode Island) | Primary |
Entity Name | Providence Interventional Associates Ii Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306123476 PECOS PAC ID: 6204094212 Enrollment ID: O20120222000572 |
Mailing Address | Practice Location Address |
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Jonah M Licht, MD 100 Highland Ave, Providence, RI 02906-2740 Ph: (401) 277-9729 | Jonah M Licht, MD 100 Highland Ave, Providence, RI 02906 Ph: (401) 277-9729 |
Christopher Donald Palmer, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 101 Dudley St, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7597 | |
Martha Catherine Trimbur, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 245 Chapman St Ste 300, Providence, RI 02905 Phone: 401-444-4741 Fax: 401-444-4445 | |
Karl Herman, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Fain Bldg., Providence, RI 02906 Phone: 401-793-4489 Fax: 401-793-4047 | |
Muhammad Baig, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Fain Bldg, Providence, RI 02906 Phone: 401-793-4489 Fax: 401-793-4047 | |
Gary M Katzman, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 208 Collyer Street, Suite 100, Providence, RI 02904 Phone: 401-793-7191 Fax: 401-793-7200 | |
Thomas Fairweather Crain, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 401-793-4630 | |
James Atkinson, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 401-793-4500 |