Bethany Jane Gentilesco (NPI# 1689749822, PAC ID# 7810977097) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1689749822 |
| PAC ID by PECOS | 7810977097 |
| Professional Enrollment ID | I20070619000672 |
| Full Name | Bethany Jane Gentilesco |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Address |
185 High Service Ave North Providence RI 02904-5114 |
| Phone Number | 4013546050 |
| Gender | F |
| Credential | MD |
| Medical School | CORNELL UNIVERSITY MEDICAL COLLEGE |
| Graduation Year | 2001 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2567455082 |
| Number of Group Practice Members | 600 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| 410007 | RHODE ISLAND HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 185 A High Service Ave, North Providence, RI 02904-5114 | 4013546050 | LIFESPAN PHYSICIAN GROUP INC |
| 185 High Service Ave, North Providence, RI 02904-5114 | 4013546050 | LIFESPAN PHYSICIAN GROUP INC |
| 164 Summit Ave, Providence, RI 02906-2853 | LIFESPAN PHYSICIAN GROUP INC |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Physicians | 560 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roy Souaid | Internal Medicine | Lifespan Physician Group Inc | 1500 Pontiac Ave, Suite 101, Cranston, RI 02920-4486 |
| Amritpal Singh Jawanda | Family Medicine | Lifespan Physician Group Inc | 639 Metacom Ave, Warren, RI 02885-2348 |
| Alisha Lakhani | Rheumatology | Lifespan Physician Group Inc | 407 E Ave, Suite 250, Pawtucket, RI 02860-5290 |
| Leah R Battista | Obstetrics/gynecology | Lifespan Physician Group Inc | 148 W River St, Suite 1g, Providence, RI 02904-2615 |
| Mahmoud Mowafy | Internal Medicine | Lifespan Physician Group Inc | 164 Summit Ave, Providence, RI 02906-2853 |
| Caroline Sizer | Physical Medicine and Rehabilitation | Lifespan Physician Group Inc | 765 Allens Ave, Suite 110, Providence, RI 02905-5443 |
| Christine Michele Leddy | Psychiatry | Lifespan Physician Group Inc | 11 Friendship St, Newport, RI 02840-2209 |
| Dana Siperstein | Psychiatry | Lifespan Physician Group Inc | 167 Point St, Providence, RI 02903-4771 |
| Brady Geronimo Case | Psychiatry | Lifespan Physician Group Inc | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 |
| Maurice Francis Joyce Iii | Anesthesiology | Lifespan Physician Group Inc | 55 Lambert Lind Hwy, Warwick, RI 02886-1074 |
| Street Address |
185 HIGH SERVICE AVE |
| City | NORTH PROVIDENCE |
| State | RI |
| Zip | 02904-5114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karl E Herman | Internal Medicine | Lifespan Physician Group Inc | 185 High Service Ave, North Providence, RI 02904-5114 |
| Muhammad Baig | Internal Medicine | Lifespan Physician Group Inc | 185 High Service Ave, North Providence, RI 02904-5114 |
| Gary M Katzman | Cardiovascular Disease (cardiology) | Lifespan Physician Group Inc | 185 High Service Ave, North Providence, RI 02904-5114 |
| James M Atkinson | Internal Medicine | Lifespan Physician Group Inc | 185 High Service Ave, North Providence, RI 02904-5114 |
| Rachel A Sullivan | Plastic and Reconstructive Surgery | Lifespan Physician Group Inc | 185 High Service Ave, North Providence, RI 02904-5114 |
| Sherry A Demacedo | Nurse Practitioner | Lifespan Physician Group Inc | 185 High Service Ave, North Providence, RI 02904-5114 |
| Kwame Dapaah Afriyie | Internal Medicine | Lifespan Physician Group Inc | 185 High Service Ave, North Providence, RI 02904-5114 |
| Anne J Goldstein | Nurse Practitioner | Lifespan Physician Group Inc | 185 High Service Ave, North Providence, RI 02904-5114 |
| Shenjun Zhu | Internal Medicine | Lifespan Physician Group Inc | 185 High Service Ave, North Providence, RI 02904-5114 |
| Sylvester Sarfraz | Geriatric Medicine | Lifespan Physician Group Inc | 185 High Service Ave, North Providence, RI 02904-5114 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert B Patterson | Vascular Surgery | 486 Silver Spring St, Providence, RI 02904-1556 | |
| Nishit Shah | Colorectal Surgery (proctology) | University Surgical Associates, Inc. | 208 Collyer St, Suite 302, Providence, RI 02904-1560 |
| Laurel A Gay | Physician Assistant | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Adam Klipfel | Colorectal Surgery (proctology) | University Surgical Associates, Inc. | 208 Collyer St, Suite 302, Providence, RI 02904-1560 |
| Fredric V Christian | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Roger D Raymond | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Michelle Kristen Finkelman | Nurse Practitioner | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Olivia Macaskill | Nurse Practitioner | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Susan P Emaus | Physician Assistant | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Kenneth S Korr | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Providence, RI 02904-1560 |
| Find all physicians in zip 02904 | |||
| City | NORTH PROVIDENCE |
| Zip Code | 02904 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | NORTH PROVIDENCE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Bethany Jane Gentilesco.
| 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.