| Landmark Medical Of Rhode Island Pc | |
|
150 Chestnut St Providence RI 02903-4645 | |
| (617) 420-5316 | |
| Not Available |
| Full Name | Landmark Medical Of Rhode Island Pc |
|---|---|
| Speciality | General Practice |
| Location | 150 Chestnut St, Providence, Rhode Island |
| Authorized Official Name and Position | Christopher Dennis (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 6574005180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Landmark Medical Of Rhode Island Pc 7755 Center Ave Ste 630 Huntington Beach CA 92647-9152 Ph: (657) 400-5180 | Landmark Medical Of Rhode Island Pc 150 Chestnut St Providence RI 02903-4645 Ph: (617) 420-5316 |
| NPI Number | 1548803729 |
|---|---|
| Provider Enumeration Date | 10/21/2019 |
| Last Update Date | 01/30/2024 |
| Medicare PECOS PAC ID | 8921431883 |
|---|---|
| Medicare Enrollment ID | O20191206000702 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548803729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Pamela Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326191107 PECOS PAC ID: 6305886011 Enrollment ID: I20191206001236 |
| Provider Name | Rayane Salerno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790100097 PECOS PAC ID: 9537380357 Enrollment ID: I20230620000793 |
| Provider Name | Andrea Davin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669958641 PECOS PAC ID: 2365786068 Enrollment ID: I20230620002907 |
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 |