Joseph K Domenico, DPM | |
249 Eddie Dowling Hwy, North Smithfield, RI 02896-8213 | |
(401) 769-5611 | |
(401) 769-6238 |
Full Name | Joseph K Domenico |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 19 Years |
Location | 249 Eddie Dowling Hwy, North Smithfield, Rhode Island |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972780583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | DPM00327 (Rhode Island) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Our Lady Of Fatima Hospital | North providence, RI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blackstone Valley Foot And Ankle Inc | 2769708684 | 2 |
Prospect Chartercare Sjhsri Llc | 7315179314 | 27 |
Provider Name | Prospect Chartercare Sjhsri Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588089759 PECOS PAC ID: 7315179314 Enrollment ID: O20140722001928 |
Provider Name | Blackstone Valley Foot And Ankle Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1720482193 PECOS PAC ID: 2769708684 Enrollment ID: O20150311001332 |
Mailing Address | Practice Location Address |
---|---|
Joseph K Domenico, DPM 345 Armistice Blvd, Pawtucket, RI 02861-2429 Ph: (401) 725-5576 | Joseph K Domenico, DPM 249 Eddie Dowling Hwy, North Smithfield, RI 02896-8213 Ph: (401) 769-5611 |
Dr. James C Sullivan, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 249 Eddie Dowling Hwy, North Smithfield, RI 02896 Phone: 401-269-5611 Fax: 401-769-6238 | |
North Smithfield Podiatry Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 249 Eddie Dowling Highway, North Smithfield, RI 02896 Phone: 401-769-5611 Fax: 401-769-6238 |