Thomas Chun, MD | |
593 Eddy St, Claverick 2, Providence, RI 02903-4923 | |
(401) 854-2504 | |
(401) 854-2519 |
Full Name | Thomas Chun |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Emergency Medicine |
Location | 593 Eddy St, 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 |
---|---|---|---|
1811911753 | NPI | - | NPPES |
370015288 | Other | RI | RAILROAD MEDICARE |
3197832 | Medicaid | MA | |
01/11/2007 | Other | RI | NHPRI |
939025129 | Other | RI | RI MEDICARE GROUP NUMBER |
12/29/2008 | Other | RI | TUFTS |
1811911753 | Other | RI | NPI |
7007368 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD08842 (Rhode Island) | Secondary |
2080P0204X | Pediatrics - Pediatric Emergency Medicine | MD08842 (Rhode Island) | Primary |
Entity Name | Brown Emergency Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962455022 PECOS PAC ID: 7214833169 Enrollment ID: O20040116000868 |
Mailing Address | Practice Location Address |
---|---|
Thomas Chun, MD Po Box 9484, Providence, RI 02940-9484 Ph: (401) 854-2508 | Thomas Chun, MD 593 Eddy St, Claverick 2, Providence, RI 02903-4923 Ph: (401) 854-2504 |
Sara Regan Ford, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1 Hoppin St, Coro Center Suite 304, Providence, RI 02903 Phone: 401-444-4612 Fax: 401-793-8831 | |
Jennifer F Friedman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Lower Level, Providence, RI 02903 Phone: 401-444-4471 Fax: 401-444-3870 | |
Jason Shapiro, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088 | |
Dr. Mikhaela Monty, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4471 Fax: 401-444-7574 | |
Dale Steele, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903 Phone: 401-854-2504 Fax: 401-854-2519 | |
Chase B Samsel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088 | |
Adebimpe Olubusayo Adewusi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Porter 005, Providence, RI 02903 Phone: 401-444-2877 Fax: 401-444-3804 |