Mr Brian R Theroux, PA is a medicare enrolled "Physician Assistant - Medical" in E Greenwich, Rhode Island. He graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Dermatology Professionals Inc, Dermatology Professionals Llc and his current practice location is
1672 S County Trl, Ste 101, E Greenwich, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(401) 885-7546.
Mr Brian R Theroux is licensed to practice in Rhode Island (license number PA00289) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275546277.
Provider's Profile
| Full Name | Mr Brian R Theroux |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 22 Years |
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| Location | 1672 S County Trl, E Greenwich, Rhode Island |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Brian R Theroux graduated from nursing school in 2002
NPI Data:
- NPI Number: 1275546277
- Provider Enumeration Date: 08/14/2006
- Last Update Date: 06/27/2012
Medicare PECOS Information:
- PECOS PAC ID: 8527054121
- Enrollment ID: I20050208000085
Medical Identifiers
Medical identifiers for Mr Brian R Theroux such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275546277 | NPI | - | NPPES |
| DE76182 | Medicaid | RI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | PA00289 (Rhode Island) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Dermatology Professionals Inc | 9234283953 | 16 |
| Dermatology Professionals Llc | 1254653355 | 8 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Brian R Theroux is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Brian R Theroux, PA
1672 S County Trl, Ste. 301,
E Greenwich, RI 02818-5098
Ph: (401) 885-7546 | Mr Brian R Theroux, PA
1672 S County Trl, Ste 101,
E Greenwich, RI 02818-5098
Ph: (401) 885-7546 |
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