Kristine M Mortel (NPI# 1396905832, PAC ID# 2062559883) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1396905832 |
| PAC ID by PECOS | 2062559883 |
| Professional Enrollment ID | I20091028000266 |
| Full Name | Kristine M Mortel |
| Organization Legal Name | PROSPECT CHARTERCARE RWMC, LLC |
| Address |
425 Albion Rd Lincoln RI 02865-4204 |
| Phone Number | 4013331473 |
| Gender | F |
| Graduation Year | 2003 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Group Practice PAC ID | 0547492696 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410004 | ROGER WILLIAMS MEDICAL CENTER |
| 410012 | THE MIRIAM HOSPITAL |
| 410009 | KENT COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 425 Albion Rd, Lincoln, RI 02865-4204 | 4013331473 | PROSPECT CHARTERCARE RWMC, LLC |
| 825 Chalkstone Ave, Providence, RI 02908-4728 | PROSPECT CHARTERCARE RWMC, LLC |
| Organization Legal Name | PROSPECT CHARTERCARE RWMC, LLC |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa R Garris | Nurse Practitioner | Prospect Chartercare Rwmc, LLC | 715 Putnam Pike, Greenville, RI 02828-1428 |
| Todd F Roberts | Medical Oncology | Prospect Chartercare Rwmc, LLC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Rebecca M Brown | Geriatric Medicine | Prospect Chartercare Rwmc, LLC | 700 Smith St, North Providence, RI 02908-3500 |
| Elinor M Collins | Certified Clinical Nurse Specialist (cns) | Prospect Chartercare Rwmc, LLC | 50 Maude St, Providence, RI 02908-4325 |
| Vincent A Armenio | Internal Medicine | Prospect Chartercare Rwmc, LLC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Michael Mariorenzi | Orthopedic Surgery | Prospect Chartercare Rwmc, LLC | 50 Maude St, Providence, RI 02908-4325 |
| Nathan L Barrington | Physician Assistant | Prospect Chartercare Rwmc, LLC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Louis J Mariorenzi | Orthopedic Surgery | Prospect Chartercare Rwmc, LLC | 825 Chalkstone Ave, Providence, RI 02908-4735 |
| Nocif Joseph Espat | Surgical Oncology | Prospect Chartercare Rwmc, LLC | 70 Kenyon Ave, Suite 216, Wakefield, RI 02879-4241 |
| Steven Carl Katz | Surgical Oncology | Prospect Chartercare Rwmc, LLC | 50 Maude St, Providence, RI 02908-4325 |
| Street Address |
425 ALBION RD |
| City | LINCOLN |
| State | RI |
| Zip | 02865-4204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl E Levick | Cardiovascular Disease (cardiology) | Lifespan Physician Group, Inc. | 6 Blackstone Plaza, Valley Place, Lincoln, RI 02865 |
| Tyler John Sliney | Chiropractic | 640 George Washington Hwy, Bldg C Suite 102, Lincoln, RI 02865 | |
| Jan J Penkala | Obstetrics/gynecology | 6 Blackstone Valley Pl, Suite 501, Lincoln, RI 02865-1101 | |
| Mohammad Jamali | Physical Therapy | Orthopedics Rhode Island, Inc | 6 Blackstone Valley Pl, Lincoln, RI 02865-1102 |
| Richard E Vannieuwenhuize | Internal Medicine | 6 Blackstone Valley Pl, Suite 305, Lincoln, RI 02865-1112 | |
| Michelle C Van Nieuwenhize | Internal Medicine | 6 Blackstone Valley Pl, Suite 305, Lincoln, RI 02865-1112 | |
| Rachel A Baboian | Qualified Audiologist | 6 Blackstone Valley Pl, Suite 307, Lincoln, RI 02865-1112 | |
| Gregory Lazan | Internal Medicine | Lincoln Urgent Care Center, Inc. | 2 Wake Robin Rd, Suite 106, Lincoln, RI 02865-1155 |
| William T Smith | Internal Medicine | Lincoln Urgent Care Center, Inc. | 2 Wake Robin Rd, Suite 106, Lincoln, RI 02865-1155 |
| Glenda E Byhouwer | Clinical Social Worker | 132 Old River Rd, Suite 300, Lincoln, RI 02865-1158 | |
| Find all physicians in zip 02865 | |||
| City | LINCOLN |
| Zip Code | 02865 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LINCOLN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kristine M Mortel.
| 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.