Ilana Black, | |
18 Slate Hill Rd, Cranston, RI 02920-3094 | |
(401) 575-0703 | |
Not Available |
Full Name | Ilana Black |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 18 Slate Hill Rd, Cranston, 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 |
---|---|---|---|
1982282653 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | APRN02467 (Rhode Island) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN02467 (Rhode Island) | Primary |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200205001032 |
Mailing Address | Practice Location Address |
---|---|
Ilana Black, 593 Eddy St, Providence, RI 02903-4923 Ph: () - | Ilana Black, 18 Slate Hill Rd, Cranston, RI 02920-3094 Ph: (401) 575-0703 |
Jillian L. Degraide, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 725 Reservoir Ave, Cranston, RI 02910 Phone: 401-829-4446 | |
Dr. Moira L Long, DNP, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 311 Doric Ave, Cranston, RI 02910 Phone: 401-467-9610 | |
Kathleen Patricia Natareno, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1960 Cranston St, Cranston, RI 02920 Phone: 401-946-0494 | |
Jackeline Paola Ramos, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2220 Plainfield Pike, Cranston, RI 02921 Phone: 401-585-8500 | |
Mrs. Jennifer Nitanya Barlow, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1170 Pontiac Ave, Cranston, RI 02920 Phone: 401-895-9937 Fax: 401-296-3998 | |
Anita Oforiwaa Obeng, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1150 Reservoir Ave, Cranston, RI 02920 Phone: 401-259-0340 | |
Elizabeth Pereira, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2000 Chapel View Blvd, Cranston, RI 02920 Phone: 401-400-8414 |