| Jack Richard, | |
|
33 Staniford St, Providence, RI 02905-3105 | |
| (401) 421-8800 | |
| (401) 421-2492 |
| Full Name | Jack Richard |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 33 Staniford St, Providence, Rhode Island |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730926940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA01719 (Rhode Island) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Richard, 36 Whetstone St, West Newbury, MA 01985-1432 Ph: (978) 914-4086 | Jack Richard, 33 Staniford St, Providence, RI 02905-3105 Ph: (401) 421-8800 |
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 |