| The Men's Health Center | |
|
180 Corliss St Ste C Providence RI 02904-2602 | |
| (401) 793-4636 | |
| (401) 793-4639 |
| Full Name | The Men's Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 180 Corliss St Ste C, Providence, Rhode Island |
| Authorized Official Name and Position | Peter K Markell (E VP & CFO) |
| Authorized Official Contact | 4014447914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Men's Health Center Po Box 1202 Providence RI 02901-1202 Ph: () - | The Men's Health Center 180 Corliss St Ste C Providence RI 02904-2602 Ph: (401) 793-4636 |
| NPI Number | 1831362813 |
|---|---|
| Provider Enumeration Date | 04/10/2008 |
| Last Update Date | 11/28/2023 |
| Certification Date | 11/28/2023 |
| Medicare PECOS PAC ID | 6901796408 |
|---|---|
| Medicare Enrollment ID | O20081016000420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831362813 | NPI | - | NPPES |
| TM70395 | Medicaid | RI |
| Provider Name | Martin M Miner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083678023 PECOS PAC ID: 2365413028 Enrollment ID: I20081017000006 |
| Provider Name | Mark Sigman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114038155 PECOS PAC ID: 3577649441 Enrollment ID: I20081112000494 |
| Provider Name | Mary M Flynn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093853178 PECOS PAC ID: 2668536194 Enrollment ID: I20090128000598 |
| Provider Name | Abigail K Mansfield Marcaccio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073836946 PECOS PAC ID: 1355479221 Enrollment ID: I20100513000678 |
| Provider Name | Kathleen Hwang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023223484 PECOS PAC ID: 5294907507 Enrollment ID: I20111011000110 |
| Provider Name | Vincent M Harisaran |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699977744 PECOS PAC ID: 6406091164 Enrollment ID: I20130328000489 |
| Provider Name | Mark R Paulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699743708 PECOS PAC ID: 8628077351 Enrollment ID: I20130702000663 |
| Provider Name | Melissa Cardona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699339721 PECOS PAC ID: 2961745443 Enrollment ID: I20190524001539 |
| Provider Name | Gabriella Juliet Avellino |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700129236 PECOS PAC ID: 5092939413 Enrollment ID: I20191021000211 |
| Provider Name | Leonardo Filipe Costa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124453386 PECOS PAC ID: 3274911185 Enrollment ID: I20220606002016 |
| Provider Name | Mariepet Tabanas Ask |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477762706 PECOS PAC ID: 9335507151 Enrollment ID: I20230626002590 |
| Provider Name | Kenneth Ralph Vieira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609643063 PECOS PAC ID: 8820436462 Enrollment ID: I20240402002923 |
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