Thomas A Dipetrillo, MD | |
593 Eddy St, Department Of Radiation Oncology, Providence, RI 02903-4923 | |
(401) 444-8311 | |
(401) 444-5335 |
Full Name | Thomas A Dipetrillo |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 38 Years |
Location | 593 Eddy 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 |
---|---|---|---|
1881651941 | NPI | - | NPPES |
920000783 | Other | RAILROAD MEDICARE | |
27671 | Other | NHP OF RHODE ISLAND | |
2400030 | Other | UNITED HEALTHCARE | |
240600NEMC | Other | HARVARD PILGRIM | |
4804-8 | Other | RI | BLUE CROSS BLUE SHIELD |
7006675 | Medicaid | RI | |
0134617 | Other | CIGNA | |
060144 | Other | TUFTS HEALTH PLAN | |
403094 | Other | BLUECHIP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | MD09677 (Rhode Island) | Primary |
2085R0001X | Radiology - Radiation Oncology | MA60144 (Massachusetts) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Rhode Island Hospital | Providence, RI | Hospital |
Tufts Medical Center | Boston, MA | Hospital |
The Miriam Hospital | Providence, RI | Hospital |
Newport Hospital | Newport, RI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pratt Radiation Oncology Associates Inc | 9133010721 | 5 |
Radiosurgery Center Of Rhode Island Llc | 0345393559 | 7 |
Lifespan Physician Group Inc | 2567455082 | 634 |
Pratt Radiation Oncology Associates Of Rhode Island, Inc | 4284731357 | 7 |
Entity Name | Pratt Radiation Oncology Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215971361 PECOS PAC ID: 9133010721 Enrollment ID: O20040323000929 |
Mailing Address | Practice Location Address |
---|---|
Thomas A Dipetrillo, MD 593 Eddy St, Department Of Radiation Oncology, Providence, RI 02903-4923 Ph: (401) 444-8311 | Thomas A Dipetrillo, MD 593 Eddy St, Department Of Radiation Oncology, Providence, RI 02903-4923 Ph: (401) 444-8311 |
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 |