Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
593 EDDY ST
PROVIDENCE, RI 02903-4923 US
PECOS Enrolled

Dr. Alison Riese, M.D.

Pediatrician


Dr. Alison Riese, M.D.

Overview

Dr. Alison Riese, M.D. is a Pediatrician in the PROVIDENCE area. Dr. Alison Riese, M.D. 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 8 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

Primary Practice Location Information
593 EDDY ST
PROVIDENCE, RI 02903-4923 US
Phone: (401)-444-4471
Fax:
Practice Mailing Information
593 EDDY ST
PROVIDENCE, RI 02903-4923 US
Phone: (401)-444-4471
Fax: (401)-444-2768
License Number State
MD13980 RI
Type/Issuer IdentifierState
TUFTS 1255560694 RI
HEALTHNET FED SERVICES 1255560694 RI
110093024A MA
BCBS 1255560694 RI
NHPRI 1255560694 RI
AR89617 RI
Taxonomy StatePrimary?
Pediatrician - Taxonomy Code 208000000X RIY

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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