Bethany Nelson (NPI# 1912217415, PAC ID# 0244483196) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1912217415 |
| PAC ID by PECOS | 0244483196 |
| Professional Enrollment ID | I20130102000005 |
| Full Name | Bethany Nelson |
| Organization Legal Name | THE MIRIAM HOSPITAL |
| Address |
164 Summit Ave Providence RI 02906-2853 |
| Phone Number | 4017934636 |
| Gender | F |
| Medical School | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6901796408 |
| Number of Group Practice Members | 191 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| 220110 | BRIGHAM AND WOMEN'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 164 Summit Ave, Providence, RI 02906-2853 | 4017934636 | THE MIRIAM HOSPITAL |
| Organization Legal Name | THE MIRIAM HOSPITAL |
| Physicians | 79 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michaela Ann Maynard | Nurse Practitioner | The Miriam Hospital | 1125 N Main St, Providence, RI 02904-5739 |
| Melanie A Hill | Nurse Practitioner | The Miriam Hospital | 146 W River St, Fl 3, Providence, RI 02904-2609 |
| Lisa Bonin | Nurse Practitioner | The Miriam Hospital | 950 Warren Ave, Fl 2, East Providence, RI 02914-1432 |
| Laura J Henseler | Family Medicine | The Miriam Hospital | 1377 S County Trl, Unit 1, East Greenwich, RI 02818-5106 |
| Rebecca E Soinski | Internal Medicine | The Miriam Hospital | 146 W River St, Fl 3, Providence, RI 02904-2609 |
| Lisa J Goldstein | Pathology | The Miriam Hospital | 164 Summit Ave, Providence, RI 02906-2853 |
| Laurel A Gay | Physician Assistant | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Sleiman El Jamal | Neurology | The Miriam Hospital | 164 Summit Ave, Providence, RI 02906-2853 |
| Kathy A Rebeiro | Nurse Practitioner | The Miriam Hospital | 146 W River St, Fl 3, Providence, RI 02904-2609 |
| Martin M Miner | Hematology/oncology | The Miriam Hospital | 164 Summit Ave, Providence, RI 02906-2853 |
| Street Address |
164 SUMMIT AVE |
| City | PROVIDENCE |
| State | RI |
| Zip | 02906-2853 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mahmoud Mowafy | Internal Medicine | Lifespan Physician Group Inc | 164 Summit Ave, Providence, RI 02906-2853 |
| Deepa Nankani | Internal Medicine | Lifespan Physician Group Inc | 164 Summit Ave, Providence, RI 02906-2853 |
| Lisa J Goldstein | Pathology | The Miriam Hospital | 164 Summit Ave, Providence, RI 02906-2853 |
| Joseph R Lauro | Emergency Medicine | Brown Emergency Medicine | 164 Summit Ave, Providence, RI 02906-2853 |
| Sleiman El Jamal | Neurology | The Miriam Hospital | 164 Summit Ave, Providence, RI 02906-2853 |
| Martin M Miner | Hematology/oncology | The Miriam Hospital | 164 Summit Ave, Providence, RI 02906-2853 |
| Barbara M Ruf | Psychiatry | Lifespan Physician Group Inc | 164 Summit Ave, Providence, RI 02906-2853 |
| Ricky D Grisson Ii | Pathology | The Miriam Hospital | 164 Summit Ave, Providence, RI 02906-2853 |
| Donald Rice | Infectious Disease | Brown Medicine | 164 Summit Ave, Providence, RI 02906-2853 |
| Aaron P Wheeler | Internal Medicine | Lifespan Physician Group Inc | 164 Summit Ave, Providence, RI 02906-2853 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Jerry Scaramella | Psychiatry | 480 Hope St, Providence, RI 02906-1631 | |
| Lisa S Schachter | Clinical Social Worker | 475 Hope St, Providence, RI 02906-1639 | |
| Nancy S Remington | Certified Clinical Nurse Specialist (cns) | 475 Hope St, Providence, RI 02906-1639 | |
| Kathryn Roth | Clinical Social Worker | 475 Hope St, Suite 1, Providence, RI 02906-1639 | |
| Danielle M Jadin | Clinical Social Worker | Family Service of Rhode Island, Inc | 55 Hope St, Providence, RI 02906-2001 |
| Alix Stockwood | Clinical Social Worker | Family Service of Rhode Island, Inc | 55 Hope St, Providence, RI 02906-2001 |
| Albert J Pechie | Clinical Social Worker | Family Service of Rhode Island, Inc | 55 Hope St, Providence, RI 02906-2001 |
| Cynthia Rosengard | Psychologist, Clinical | 295 Angell St, Providence, RI 02906-2119 | |
| Michael Zola | Chiropractic | 144 Waterman St, Suite 2, Providence, RI 02906-2126 | |
| Leila K Oconnell | Clinical Social Worker | 144 Waterman St, Suite 1, Providence, RI 02906-2126 | |
| Find all physicians in zip 02906 | |||
| City | PROVIDENCE |
| Zip Code | 02906 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PROVIDENCE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Bethany Nelson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.