Jonathan Irvine Gates, MD | |
355 Prairie Ave, Providence, RI 02905 | |
(401) 444-0570 | |
(401) 444-0427 |
Full Name | Jonathan Irvine Gates |
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Gender | Male |
Speciality | Internal Medicine |
Location | 355 Prairie Ave, 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 |
---|---|---|---|
1922060466 | NPI | - | NPPES |
7010496 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 11135 (Rhode Island) | Primary |
Entity Name | Wood River Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417947383 PECOS PAC ID: 2466417506 Enrollment ID: O20041130000808 |
Mailing Address | Practice Location Address |
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Jonathan Irvine Gates, MD 375 Allens Ave, Providence, RI 02905-5010 Ph: (401) 444-0400 | Jonathan Irvine Gates, MD 355 Prairie Ave, Providence, RI 02905 Ph: (401) 444-0570 |
Christopher Donald Palmer, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Dudley St, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7597 | |
Martha Catherine Trimbur, MD Internal Medicine 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. Internal Medicine 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. Internal Medicine 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 Internal Medicine 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 Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 401-793-4630 | |
James Atkinson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 401-793-4500 |