Peter Michael Small, MD | |
200 High Service Avenue, St. Joseph Health Services Of Rhode Island, North Providence, RI 02904 | |
(401) 490-5365 | |
Not Available |
Full Name | Peter Michael Small |
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Gender | Male |
Speciality | Family Medicine |
Location | 200 High Service Avenue, North 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 |
---|---|---|---|
1972557346 | NPI | - | NPPES |
8002001 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD05276 (Rhode Island) | Primary |
Entity Name | Prospect Chartercare Sjhsri Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588089759 PECOS PAC ID: 7315179314 Enrollment ID: O20140722001928 |
Entity Name | Prospect Chartercare Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629493135 PECOS PAC ID: 0840416657 Enrollment ID: O20140730001883 |
Mailing Address | Practice Location Address |
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Peter Michael Small, MD Po Box 1340, Charlestown, RI 02813-1340 Ph: (401) 788-8212 | Peter Michael Small, MD 200 High Service Avenue, St. Joseph Health Services Of Rhode Island, North Providence, RI 02904 Ph: (401) 490-5365 |
Chandni Patel, DNP, FNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Smithfield Rd, North Providence, RI 02904 Phone: 401-353-1710 | |
Belarmino Augusto Nunes, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1637 Mineral Spring Ave, Suite 107, North Providence, RI 02904 Phone: 401-354-4100 Fax: 401-354-4104 | |
Camia Crawford Dimock, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 33 Maple St, North Providence, RI 02911 Phone: 401-519-1940 Fax: 401-351-6613 |