Theresa A Graves, MD | |
2 Dudley St, Suite 470, Providence, RI 02905-3236 | |
(401) 553-8304 | |
(401) 868-2304 |
Full Name | Theresa A Graves |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 39 Years |
Location | 2 Dudley St, Providence, Rhode Island |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124025663 | NPI | - | NPPES |
9020216 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD08747 (Rhode Island) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Rhode Island Hospital | Providence, RI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Surgical Associates, Inc. | 4082503032 | 96 |
Rhode Island Hospital | 8921900044 | 307 |
Entity Name | University Surgical Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376589895 PECOS PAC ID: 4082503032 Enrollment ID: O20040818001275 |
Entity Name | Rhode Island Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396849782 PECOS PAC ID: 8921900044 Enrollment ID: O20050211000311 |
Mailing Address | Practice Location Address |
---|---|
Theresa A Graves, MD Po Box 16149, Rumford, RI 02916-0697 Ph: (401) 453-9625 | Theresa A Graves, MD 2 Dudley St, Suite 470, Providence, RI 02905-3236 Ph: (401) 553-8304 |
Aileen Hsueh, Surgery Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088 | |
Liudmila Muraveika, Surgery Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5180 Fax: 401-444-6681 | |
Todd S Stafford, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 195 Collyer St Ste 302, Providence, RI 02904 Phone: 401-228-0633 Fax: 401-793-5171 | |
Chibueze Nwaiwu, MD Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5471 Fax: 401-444-4557 | |
Dr. Robert Ira Wolf, MD Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5180 | |
Abigail Case, MD Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5180 | |
Roberto M Vera, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088 |