Walter Deluca, PAC - Medicare Physician Assistant in East Providence, RI

Walter Deluca, PAC is a medicare enrolled "Physician Assistant - Medical" in East Providence, Rhode Island. His current practice location is 684 Warren Ave, East Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 434-0022.

Walter Deluca is licensed to practice in Rhode Island (license number PA00002) 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 1962598516.

Contact Information

Walter Deluca, PAC
684 Warren Ave,
East Providence, RI 02914-1405
(401) 434-0022
(401) 434-6111



Provider's Profile

Full NameWalter Deluca
GenderMale
SpecialityPhysician Assistant - Medical
Location684 Warren Ave, East 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: 1962598516
  • Provider Enumeration Date: 10/04/2006
  • Last Update Date: 09/18/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0042259715
  • Enrollment ID: I20080514000345

Medical Identifiers

Medical identifiers for Walter Deluca such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962598516NPI-NPPES
7005920MedicaidRI
289OtherMTSTATE LIC NUMBER
000096303OtherMTBLUE CROSS NUMBER
979006386OtherRIMEDICARE PTAN
0438260MedicaidMT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 289 (Montana)Secondary
363AM0700XPhysician Assistant - Medical PA00002 (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. Walter Deluca 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
Walter Deluca, PAC
684 Warren Ave,
East Providence, RI 02914-1405

Ph: (401) 434-0022
Walter Deluca, PAC
684 Warren Ave,
East Providence, RI 02914-1405

Ph: (401) 434-0022

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Physician Assistant Nurses in East Providence, RI

Erin L Sharaf, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 450 Veterans Memorial Pkwy, Building 14, East Providence, RI 02914
Phone: 401-435-6625    Fax: 401-435-6694
Olivia Beaupre, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Kettle Point Ave, East Providence, RI 02914
Phone: 401-457-1500    
Toby Fingeroth Weiser, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 73 Highland Ave Unit C, East Providence, RI 02914
Phone: 774-929-9100    Fax: 774-929-6290
Taylor Lynn Reall, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 450 Veterans Memorial Pkwy Bldg 6, East Providence, RI 02914
Phone: 401-435-5533    
Kyra Gabow, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Kettle Point Ave, East Providence, RI 02914
Phone: 401-453-9032    
Kasey Elizabeth Cameron, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Kettle Point Ave, East Providence, RI 02914
Phone: 401-457-1515    
Steven A Occhiuti, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1 Office Parkway, Suite 201, East Providence, RI 02914
Phone: 401-435-3325    Fax: 401-435-3327

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