Mohit Sourabh Kasibhatla, MD | |
50 Maude St, Providence, RI 02908-4325 | |
(401) 456-2690 | |
(401) 456-6540 |
Full Name | Mohit Sourabh Kasibhatla |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 24 Years |
Location | 50 Maude 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 |
---|---|---|---|
1841382660 | NPI | - | NPPES |
008032332 | Medicaid | CT | |
P00756245 | Other | RI | RAILROAD MEDICARE - RWRT |
P01044492 | Other | RI | RAILROAD MEDICARE - SOUTHERN NEW ENGLAND REGIONAL CANCER |
MK69589 | Medicaid | RI | |
7263727 | Other | RI | AETNA |
P00762785 | Other | RI | RAILROAD MEDICARE - RADIOSURGERY CENTER OF RI |
P00912570 | Other | RI | RAILROAD MEDICARE - SOUTH COUNTY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 2006-01262 (North Carolina) | Secondary |
2085R0001X | Radiology - Radiation Oncology | MD12575 (Rhode Island) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Vidant Medical Center | Greenville, NC | Hospital |
Unc Lenoir Health Care | Kinston, NC | Hospital |
Vidant Roanoke Chowan Hospital | Ahoskie, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vidant Radiation Oncology Llc | 2567768021 | 7 |
Entity Name | Genesiscare Usa Of North Carolina, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306826961 PECOS PAC ID: 0042246050 Enrollment ID: O20080226000385 |
Entity Name | Vidant Radiation Oncology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821465642 PECOS PAC ID: 2567768021 Enrollment ID: O20160309000852 |
Mailing Address | Practice Location Address |
---|---|
Mohit Sourabh Kasibhatla, MD 2234 Colonial Blvd, Managed Care Det., Fort Myers, FL 33907-1412 Ph: (239) 931-7342 | Mohit Sourabh Kasibhatla, MD 50 Maude St, Providence, RI 02908-4325 Ph: (401) 456-2690 |
Lars Stangenberg, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2 Dudley St, Suite 470, Providence, RI 02905 Phone: 401-553-8318 Fax: 401-868-2307 | |
Kara Lynne Leonard, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Rih Radiation Oncology, Providence, RI 02903 Phone: 401-444-8311 Fax: 401-444-5335 | |
Michael Low Cardenas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 825 N Main St, Providence, RI 02904 Phone: 774-279-0884 | |
Earle O Assanah, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5174 | |
Glenn A Tung, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4000 | |
Sarah-kim Shields, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Radiology, Providence, RI 02903 Phone: 401-444-2133 Fax: 401-444-5017 | |
Sean O'neill, MD Radiology Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5127 Fax: 401-444-3056 |