Maggie Bacon, MB BCH BAO | |
455 Toll Gate Rd, Warwick, RI 02886-2759 | |
(401) 737-7010 | |
Not Available |
Full Name | Maggie Bacon |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 455 Toll Gate Rd, Warwick, 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 |
---|---|---|---|
1710506274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD19876 (Rhode Island) | Primary |
Entity Name | Western Mass Physician Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922009547 PECOS PAC ID: 5799767109 Enrollment ID: O20040601000909 |
Entity Name | Sturdy Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730106162 PECOS PAC ID: 4981653789 Enrollment ID: O20050119000678 |
Entity Name | Lakes/national Emergency Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114426772 PECOS PAC ID: 9234126244 Enrollment ID: O20180417000221 |
Mailing Address | Practice Location Address |
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Maggie Bacon, MB BCH BAO 455 Toll Gate Rd, Warwick, RI 02886-2759 Ph: () - | Maggie Bacon, MB BCH BAO 455 Toll Gate Rd, Warwick, RI 02886-2759 Ph: (401) 737-7010 |
Christopher Baze, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-737-7010 | |
Kenneth Robert Larsen, D.O Emergency Medicine Medicare: Medicare Enrolled Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-736-4289 | |
Lindsey Gori, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-737-7010 | |
Ashley Mildred Langella, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 455 Toll Gate Rd, Office Of Graduate Medical Education, Warwick, RI 02886 Phone: 401-731-7000 | |
Jonathan Trent Vanadore, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-737-7010 | |
Stephanie Leigh Aaron, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 455 Toll Gate Road, Warwick, RI 02886 Phone: 864-650-2955 | |
Christopher J Mozdzanowski, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-737-7000 |