Joseph Renzulli, MD | |
195 Collyer St, Suite 201, Providence, RI 02904-1869 | |
(401) 272-7799 | |
(401) 272-9299 |
Full Name | Joseph Renzulli |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 24 Years |
Location | 195 Collyer St, 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 |
---|---|---|---|
1538108832 | NPI | - | NPPES |
9004842 | Medicaid | RI | |
33583 | Other | RI | BLUE SHIELD |
349005986 | Other | RI | MEDICARE GROUP PTAN |
1659463230 | Other | RI | GROUP NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 60085 (Connecticut) | Secondary |
208800000X | Urology | MD11757 (Rhode Island) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Westerly Hospital | Westerly, RI | Hospital |
Lawrence & Memorial Hospital | New london, CT | Hospital |
The Miriam Hospital | Providence, RI | Hospital |
South County Hospital Inc | Wakefield, RI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeast Medical Group Inc | 1254233836 | 1244 |
Northeast Medical Group Inc | 1254233836 | 1244 |
Entity Name | The Miriam Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568567790 PECOS PAC ID: 6901796408 Enrollment ID: O20050827000227 |
Entity Name | Northeast Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20170518000594 |
Mailing Address | Practice Location Address |
---|---|
Joseph Renzulli, MD Po Box 208058, New Haven, CT 06520-8058 Ph: (203) 737-7652 | Joseph Renzulli, MD 195 Collyer St, Suite 201, Providence, RI 02904-1869 Ph: (401) 272-7799 |
Boris Gershman, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 195 Collyer St, Suite 201, Providence, RI 02904 Phone: 401-272-7799 Fax: 401-453-9078 | |
Daniel Isaac Sanford, MD Urology Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5795 | |
Simone Thavaseelan, Urology Medicare: Accepting Medicare Assignments Practice Location: 2 Dudley St Ste 185, Providence, RI 02905 Phone: 401-444-5795 | |
Prof. Stephen N. Rous, M.D. Urology Medicare: Medicare Enrolled Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7100 | |
Mark Sigman, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2 Dudley St, Suite 185, Providence, RI 02905 Phone: 401-421-0710 Fax: 401-421-0796 | |
Harry Michael Iannotti, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1165 N Main St, Ste. 200, Providence, RI 02904 Phone: 401-521-4333 Fax: 401-521-4377 | |
Dr. Barry Stephen Stein, MD Urology Medicare: Medicare Enrolled Practice Location: 2 Dudley St, Suite 174, Providence, RI 02905 Phone: 401-444-8577 |