| Integrated Wound Care Rhode Island Pllc | |
|
50 Maude St Providence RI 02908-4325 | |
| (732) 451-4318 | |
| Not Available |
| Full Name | Integrated Wound Care Rhode Island Pllc |
|---|---|
| Speciality | General Practice |
| Location | 50 Maude St, Providence, Rhode Island |
| Authorized Official Name and Position | Diane Lusas (MEMBER) |
| Authorized Official Contact | 7324514318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Wound Care Rhode Island Pllc 492c Cedar Ln Ste 514 Teaneck NJ 07666-1713 Ph: () - | Integrated Wound Care Rhode Island Pllc 50 Maude St Providence RI 02908-4325 Ph: (732) 451-4318 |
| NPI Number | 1871063891 |
|---|---|
| Provider Enumeration Date | 12/03/2018 |
| Last Update Date | 03/28/2019 |
| Medicare PECOS PAC ID | 2668712928 |
|---|---|
| Medicare Enrollment ID | O20190322001877 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871063891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Diane Lusas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730475658 PECOS PAC ID: 9032430640 Enrollment ID: I20171030002765 |
| Provider Name | Cecelia G Echevarria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801375605 PECOS PAC ID: 4880944784 Enrollment ID: I20180913000682 |
| Provider Name | Carrie M Reynolds |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1336571843 PECOS PAC ID: 8325282551 Enrollment ID: I20191121001853 |
| Provider Name | Mellissa Gosset |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164052478 PECOS PAC ID: 5496175309 Enrollment ID: I20201014003481 |
| Provider Name | Donna J Remmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760082366 PECOS PAC ID: 0840688578 Enrollment ID: I20220511001186 |
| Provider Name | Sandra L Carruthers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841925633 PECOS PAC ID: 5991176208 Enrollment ID: I20230125000697 |
Kevin E. Baill Md & Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Blackstone Blvd, Providence, RI 02906 Phone: 917-447-2138 | |
Ocean State Urgent Care At St Joseph Health Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Peace St, Providence, RI 02907 Phone: 301-314-3999 Fax: 401-808-6294 | |
Theodore C. Palumbo, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 Staniford St, Providence, RI 02905 Phone: 401-421-8800 Fax: 401-273-6510 | |
The Providence Community Health Centers, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 145 Beaufort St, Providence, RI 02908 Phone: 888-612-7242 Fax: 401-444-0421 | |
Concentra Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 290 Branch Ave, Providence, RI 02904 Phone: 401-722-8880 Fax: 401-723-9320 | |
Barrington Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 381 Wickenden St, Providence, RI 02903 Phone: 401-433-7550 Fax: 401-490-0905 | |
Hallworth House Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Benefit St, Providence, RI 02904 Phone: 401-274-4505 |