Nicholas J Petrosino, - Medicare Psychiatry & Neurology in Providence, RI

Nicholas J Petrosino, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Providence, Rhode Island. His current practice location is 345 Blackstone Blvd Ste 2, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 455-6200.

Nicholas J Petrosino is licensed to practice in Rhode Island (license number LP05015) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265056451.

Contact Information

Nicholas J Petrosino,
345 Blackstone Blvd Ste 2,
Providence, RI 02906-4829
(401) 455-6200
Not Available



Physician's Profile

Full NameNicholas J Petrosino
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location345 Blackstone Blvd Ste 2, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265056451
  • Provider Enumeration Date: 06/03/2020
  • Last Update Date: 06/03/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8224455308
  • Enrollment ID: I20200903002089

Medical Identifiers

Medical identifiers for Nicholas J Petrosino such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265056451NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry LP05015 (Rhode Island)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicholas J Petrosino is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicholas J Petrosino,
472 Morris Ave,
Providence, RI 02906-3532

Ph: (781) 534-2644
Nicholas J Petrosino,
345 Blackstone Blvd Ste 2,
Providence, RI 02906-4829

Ph: (401) 455-6200

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Psychiatry & Neurology Doctors in Providence, RI

Dr. Dana Siperstein, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 167 Point St, Providence, RI 02903
Phone: 401-793-8808    Fax: 401-793-8851
Giuseppe Salvatore D'amelio Iv, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 167 Point St, Providence, RI 02903
Phone: 401-793-8808    
Eugenie Atallah,
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-606-2645    Fax: 401-606-4386
Dr. Luisa Skoble, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5448    Fax: 401-444-6119
Arnaldo A Berges, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Jane Brown 5s, Providence, RI 02903
Phone: 401-444-5448    Fax: 401-444-6119
Sharath Ponnappa Puttichanda,
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 345 Blackstone Blvd, Providence, RI 02906
Phone: 401-455-6346    Fax: 401-455-6532
Loreen Phyllis Carol Pirnie, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5448    

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