| Edmond Godbout, PA | |
|
593 Eddy St, Providence, RI 02903-4923 | |
| (401) 519-1604 | |
| (401) 272-0538 |
| Full Name | Edmond Godbout |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| 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 |
|---|---|---|---|
| 1710991955 | NPI | - | NPPES |
| 01/15/2008 | Other | RI | NHPRI |
| 1710991955 | Other | NPI | |
| 7008105 | Medicaid | RI | |
| 04/01/2008 | Other | RI | BCBSRI |
| 939025129 | Other | RI | RI MEDICARE GROUP NUMBER |
| 1962455022 | Other | RI | UEMF GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA00090 (Rhode Island) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Edmond Godbout, PA Po Box 9484, Providence, RI 02940-9484 Ph: (401) 854-2500 | Edmond Godbout, PA 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 519-1604 |
Miss Celia Cordeiro, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 450 Brook St, Providence, RI 02906 Phone: 401-863-3953 | |
Kelsey Heck, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 593 Eddy St., Claverick 2, Providence, RI 02903 Phone: 401-444-4000 | |
Bret Caulfield, Physician Assistant Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4000 | |
Ms. Karen Lynn Steinmetz, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 593 Eddy St, Suite 814, Providence, RI 02903 Phone: 401-444-5891 Fax: 401-444-8158 | |
Linhuang Han, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Main 4, Providence, RI 02903 Phone: 401-444-7085 | |
Elizabeth Mewha, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 593 Eddy Street, Claverick 2, Providence, RI 02903 Phone: 401-444-5451 Fax: 401-444-5922 | |
Thomas A Morin, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy Street, Claverick 2, Providence, RI 02903 Phone: 401-444-4000 |