593 EDDY ST
PROVIDENCE, RI 02903-4923 US PECOS Enrolled
Overview
Alison Riese is a Pediatrician in the PROVIDENCE area. Alison Riese primary office location is at 593 EDDY ST and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1255560694 and the information was updated approximately 12 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| MD13980 | RI |
| Type/Issuer | Identifier | State |
|---|---|---|
| TUFTS | 1255560694 | RI |
| MEDICAID | 110093024A | MA |
| HEALTHNET FED SERVICES | 1255560694 | RI |
| NHPRI | 1255560694 | RI |
| BCBS | 1255560694 | RI |
| MEDICAID | AR89617 | RI |
| Taxonomy | State | Primary? |
|---|---|---|
| Pediatrician - Taxonomy Code 208000000X | RI | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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