| Joseph A Decesare Dpm | |
|
201 Broadway, Providence, RI 02903-3015 | |
| (401) 421-9167 | |
| (401) 421-9193 |
| Full Name | Joseph A Decesare Dpm |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 201 Broadway, Providence, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194846154 | NPI | - | NPPES |
| 2343 | Other | RI | NEIGHBORHOOD J A DECESARE |
| 400515 | Other | RI | BLUECHIP J A DECESARE DP |
| 0000007071 | Other | RI | BCBS RI GROUP ID |
| R003457 | Other | RI | WPS TRICARE GROUP ID |
| 0005779230 | Other | RI | AETNA |
| 0137515002 | Other | RI | CIGNA |
| 0000007071 | Other | RI | BLUECHIP GROUP ID |
| 0357 | Other | RI | NEIGHBORHOOD GROUP ID |
| FH00185 | Medicaid | RI | |
| ZE5188 | Other | RI | BCBS MA GROUP ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | DPM00240 (Rhode Island) | Primary |
| Provider Name | Joseph A Decesare |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104959832 PECOS PAC ID: 5092826339 Enrollment ID: I20111019000387 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph A Decesare Dpm 201 Broadway, Providence, RI 02903-3015 Ph: (401) 421-9167 | Joseph A Decesare Dpm 201 Broadway, Providence, RI 02903-3015 Ph: (401) 421-9167 |
Dr. Anthony Joseph Popoff, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 825 Chalkstone Ave, Providence, RI 02908 Phone: 814-520-4835 | |
Courtny Johnson, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 825 Chalkstone Ave, Providence, RI 02908 Phone: 401-456-2000 | |
Dr. Joseph A Decesare, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 201 Broadway, Providence, RI 02903 Phone: 401-421-9167 Fax: 401-421-9193 | |
Peter J Sardella, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 235 Plain Street, Suite 201, Providence, RI 02905 Phone: 401-861-8830 Fax: 401-351-2378 | |
Rih Center For Wound Care Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy Street, Providence, RI 02914 Phone: 401-606-4325 Fax: 401-444-6483 | |
Kirsti Anna Diehl, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 830 Chalkstone Ave, Providence Vamc, Department Of Surgery, Providence, RI 02908 Phone: 401-273-7100 | |
Nicole Ashley Curreri, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 825 Chalkstone Ave, Providence, RI 02908 Phone: 401-456-2388 |