Mr Henry Sisun, MSPT in Cranston, RI - Medicare Physical Therapist Provider

Mr Henry Sisun, MSPT is a medicare enrolled "Physical Therapist" provider in Cranston, Rhode Island. His current practice location is 721 Reservoir Ave, Cranston, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 946-4250.

Mr Henry Sisun is licensed to practice in Rhode Island (license number PT00646) 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 1235110073.

Contact Information

	Mr Henry Sisun, MSPT
	721 Reservoir Ave, Cranston, RI 02910-4430
	(401) 946-4250
	(401) 942-3960

Healthcare Provider's Profile

Full Name	Mr Henry Sisun
Gender	Male
Speciality	Physical Therapist
Location	721 Reservoir Ave, Cranston, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235110073
Provider Enumeration Date: 11/09/2005
Last Update Date: 09/27/2011

Medicare PECOS Information:

PECOS PAC ID: 0345135703
Enrollment ID: I20060418000135

Medical Identifiers

Medical identifiers for Mr Henry Sisun such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235110073	NPI	-	NPPES
70151140002	Other		CIGNA NON-PAR
5712442	Other	MA	AETNA INDIVIDUAL #
1454-35-0001	Other	RI	DMERC ID #
401280	Other	RI	RI BLUECHIP PROV #
19016	Other		NEIGHBORHOOD HEALTH PLAN
AA46223	Other	RI	HPHC RI PROV ID#
605716	Other	MA	HPHC MA PROV ID#
7536	Other	RI	RI BCBS PROV #
PT00646	Other	RI	PT LICENSE # STATE OF RI
2015585	Other	RI	AETNA PROV ID#
PT0182	Other	MA	MEDICARE GROUP # OT SERV
Y65737	Other	MA	MA BCBS PROV ID #
5669	Other	MA	PT LICENSE STATE OF MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT00646 (Rhode Island)	Primary
225100000X	Physical Therapist	5669 (Massachusetts)	Secondary

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. Mr Henry Sisun 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 Address	Practice Location Address
Mr Henry Sisun, MSPT 721 Reservoir Ave, Cranston, RI 02910-4430 Ph: (401) 946-4250	Mr Henry Sisun, MSPT 721 Reservoir Ave, Cranston, RI 02910-4430 Ph: (401) 946-4250

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Physical Therapist in Cranston, RI

Robin Lindsey Ness, Physical Therapist Medicare: Medicare Enrolled Practice Location: 721 Reservoir Ave, Cranston, RI 02910 Phone: 401-946-4250 Fax: 401-275-5645
Melany A. Westwell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Reservoir Ave, Cranston, RI 02910 Phone: 401-785-3334 Fax: 401-785-3336
Megan Elizabeth Miller, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 721 Reservoir Ave, Cranston, RI 02910 Phone: 401-946-4250 Fax: 401-275-5645
Francis Santos Purugganan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4 Western Hills Ln Apt 2402, Cranston, RI 02921 Phone: 401-767-6704
Randi J Marten, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 721 Reservoir Ave, Cranston, RI 02910 Phone: 401-946-4250 Fax: 401-275-5645
Mrs. Judith Marie Ricci, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 75 Sockanosset Cross Rd, Suite 110, Cranston, RI 02920 Phone: 401-944-7574 Fax: 401-944-7602
Andrew J Going, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 721 Reservoir Ave, Cranston, RI 02910 Phone: 401-946-4250 Fax: 401-275-5645

Mr Henry Sisun, MSPT - Medicare Physical Therapist in Cranston, RI