2016 BlueCHiP for Medicare Advance Primary Care Physician … · 2017. 11. 1. · 3 This guide...

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2016 BlueCHiP for Medicare Advance Primary Care Physician (PCP) Listing H4152_2016advancepcpguide192 Accepted

Transcript of 2016 BlueCHiP for Medicare Advance Primary Care Physician … · 2017. 11. 1. · 3 This guide...

Page 1: 2016 BlueCHiP for Medicare Advance Primary Care Physician … · 2017. 11. 1. · 3 This guide provides a list of the BlueCHiP for Medicare Advance network primary care physicians

2016 BlueCHiP for Medicare Advance Primary Care Physician (PCP) Listing

H4152_2016advancepcpguide192 Accepted

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3

This guide provides a list of the BlueCHiP for Medicare Advance network primary care physicians (PCPs).

To enroll in BlueCHiP for Medicare Advance, you will have to choose one of our network providers who are listed in this guide to be your PCP. The PCPs in the BlueCHiP for Medicare Advance network are affiliated with systems of care, which are groups of providers with a shared commitment to delivering quality, cost-effective healthcare.

In addition to addressing your primary care needs, these providers are aligned to coordinate all of your healthcare needs and help you to get the most from your plan. Your PCP will work with you to arrange referrals when needed, for specialist visits and certain other services as described in your plan documents.

Please use this guide to choose a provider for your BlueCHiP for Medicare Advance plan and supply it on the enrollment application, or to the BlueCHiP for Medicare Concierge team member when enrolling. If you are looking to change PCPs you can also use this guide to find one in your area.

This list is current as of April 1, 2016. For a more up-to-date listing , please use our Find a Doctor tool at bcbsri.com/Medicare. If you have any other questions please contact the BlueCHiP for Medicare Concierge Team at 1-800-267-0439. TTY: 711.

Hours are :

October 1, 2015 – February 14, 2016: Seven days a week, 8:00 a.m. to 8:00 p.m.;

February 15, 2016 – September 30, 2016: Monday – Friday, 8:00 a.m. to 8:00 p.m.;

Saturday and Sunday, 8:00 a.m. to noon

An automated answering system is available outside of these hours. Or visit

bcbsri.com/Medicare.

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TABLE OF CONTENTS

ALPHABETICAL PHYSICIAN/PROVIDER LISTING ................................ 1

PCP NETWORK......................................................................................... 4

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ALPHABETICAL PHYSICIAN/PROVIDER LISTING

1(PO) Present Patients Only

IND

EX

Ackerman MD, Emily J ................... 15Agarwal MD, Purva ........................ 12Agatiello MD, Paul J ....................... 16Ahmad MD, Irfan ............................ 17Alizadeh-Khosroshahi MD, Amir H ........................................ 5, 10Allen Jr DO, Gregory G .. 5, 6, 7, 9, 13Al-Raqqad MD, Ahmad K ............... 12Altongy MD, Gilbert J ....................... 4Alves DO, Joyce A ........................... 7Amalfitano Jr MD, Frank J ............. 16Ambrad MD, Jamiel J ..................... 15Amin MD, Kim S ............................. 12Anandarajah MD, Gowri ..................11Andelloux MD, Derek A .................... 6Andreozzi III DO, Rocco J .............. 17Anthony MD, David C .....................11Appenfeller MD, Rex W ................... 9Arcand MD, Denise M .................... 15Armenio MD, Vincent A .............. 7, 13Ashley MD, David W .......................11Asiedu MD, Daniel K ........................ 9Austin DO, Jason K .......................... 9Ayvazyan MD, Herman .................... 7Azam MD, Munawar M .................... 7Azer MD, Wadid S ..................... 5, 13Bacon DO, Alvin C ......................... 10Balon MD, Stanley R ........................ 6Banner MD, Kathryn A ..................... 4Bansal MD, Priya ............................. 7Bansal MD, Rajnish ......................... 7Barratt MD, Paul F ......................... 15Bauer MD, Benjamin J ................... 16Bauman MD, Anne G ................. 7, 13Beauchamp MD, John C ................ 17Beaupre MD, Stephen R .................. 5Behtash DO, Solmaz ......................11Beliveau MD, William J .................... 9Belosloudtseva MD, Natalia ........... 13Berg MD, Geoffrey H ..................... 13Blackmer MD, Karen ........................ 6Blecker MD, Douglas L .................. 13Bodkin MD, Sheenagh M ............... 13Borkan MD, Jeffrey M .....................11Botelho MD, Dennis D ..................... 5Boudjouk MD, Jason B .................. 16Bradshaw DO, Kenneth G ..............11Braun MD, Mark E ..................... 5, 13Brennan DO, Herbert J .................... 7Briones MD, Leah E ........................11Brown MD, Joanna ........................ 13Brown MD, Rebecca M .............. 9, 13

Brumbaugh MD, Matthew A ............. 4Buckley MD, Jennifer L .............. 9, 16Burns MD, Suzanne P ..................... 8Calikyan MD, Raffi ..................... 9, 10Callahan MD, Keith L ..................... 16Campanile MD, Christopher P .....................................................11Cancro MD, Carol S ........................11Capalbo MD, Robert A ................... 17Cardi MD, James K .......................... 5Cece MD, John A ............................. 5Cesario MD, Carla A ........................ 6Cevallos-Alomia MD, Maria L ....................................................... 4Chaffey DO, John A ....................... 16Chandran MD, Rabin F ...................11Chittargi MD, Samarth S .................. 8Chliwner MD, Irene S ..................... 16Chofay MD, Dana R ......................... 7Cicchelli MD, Robert O .................. 10Cineas MD, Sybil ........................... 13Clark Bilodeau MD, Courtney ........................................ 13Cohen MD, Robert H ....................... 9Coia DO, David ................................ 6Collins MD, Daniel F ........................ 4Constantino MD, Cassandra X ...................................................... 4Coppola MD, Joyce ....................... 12Corsi DO, John M .......................... 15Crausman MD, Robert S............ 6, 10Crawford MD, Kim J ....................... 10Cronin III DO, Charles L ............ 7, 16Cunniff DO, Kristine A .....................11Cunningham MD, David F.............. 10Cushing-Brescia MD, Anne E ...................................................... 9D'Alessandro MD, Frank B ............ 10D'Alessandro MD, Frank M ........ 9, 13Damle MD, Nitin S ......................... 15Dasari MD, Naresh K ....................... 5De Leon MD, Lauren M ................. 15DeGood DO, Catherine A ...............11Delsesto MD, Richard M .................. 7Demirs MD, Stuart V ........................ 4Dennison MD, Allen M ................. 4, 8Desmarais MD, Roland J ............... 17Deyhimpanah MD, Babak .............. 10Diaz MD, Joseph A ........................ 12DiCecco MD, David A .................... 10Dicenso MD, Angelo ........................ 9Dilorenzo MD, Joseph A .................. 5

Dorris MD, Heidi J ...........................13Doyle MD, Jane M ..........5, 6, 8, 9, 13Drogin MD, Jeffrey H ........................8D'Souza DO, Rikhi J .......................15Duarte MD, Kristina M ....................11Dubois DO, Carol J .........................10Dubois DO, David R .......................10Dubois-Hall DO, Diane I ...................6Duhig MD, Rosalinda G ..................17Eaton MD, Charles B ......................11Ejnes MD, Yul D ...............................5El Rayess MD, Fadya .....................11Elhamamsy MD, Salaheldin M .....................................................12Eller MD, Peter M ...........................12El-Twal MD, Muhand S ...................17Emgushov MD, Rinchen-Tz O .....................................................13England MD, Joseph J ................9, 11Fabre MD, Maria V .........................12Fallon DO, Frank H ...........................6Fanale MD, James E ......................13Fanning DO, Stephen A ....................8Fantes MD, Thomas P ..............11, 15Favreau MD, Stephanie P ..............16Felix MD, Benjamin R .....................13Ferri DO, Vito F .................................9Ferri MD, Fred F ...............................9Filip MD, Anna B .............................11Fischer MD, Bruce E .........................4Fischer MD, Joshua E ......................8Fonseca-Valencia MD, Carolina ..........................................12Foreman DO, Douglas S ................16Fox MD, Robert E ...........................17Fraioli Jr DO, Frank ........................15Fried MD, David L .............................7Furey MD, Christopher M ...............16Gaines MD, John A .....................8, 15Garg DO, Manoj K ............................7Gauthier MD, Edward J ............10, 13Genese DO, Josephine ..................13Genese MD, Thomas O ............12, 13George MD, Paul F .........................11Giancaspro MD, Joseph P ..............17Gilman MD, Ronald M ......................8Girach MD, Altaf A ............................6Glickman MD, Denise F ....................7Goddard MD, Joan C ......................14Goddard MD, Lauren A .....................9Goldburt MD, Alla ...........................17Goldfarb MD, Amy ..........................14

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ALPHABETICAL PHYSICIAN/PROVIDER LISTING

2(PO) Present Patients Only

IND

EX

Golomb MD, Duane T ...................... 4Gomes DO, Elizabeth M .................11Gonzalez MD, Eileen M ..................11Gonzalez MD, Michael J B ..............11Gordon DO, Kathleen P ................... 9Grande DO, Joseph A .................... 16Grande MD, Karen D ..................... 16Green DO, Thomas L ....................... 6Greenier MD, Vanessa R ........... 8, 15Gross MD, Monica L .......................11Grumbach MD, Nicholas M ...... 14, 16Gul MD, Amber .............................. 12Guzman MD, Levis M .................... 12Hagos MD, Hana T ...................11, 15Hamilton MD, Geoffrey R ................. 4Hance MD, Robert V ...................... 17Haneef MD, Neenoofar ........ 6, 10, 12Hanna-Trad MD, Linda J ................ 12Hans MD, Nidhi .............................. 15Hardy MD, George E ..................... 16Harrison MD, Emily C .................6, 11Harrop MD, Pamela A ...................... 4Hayden DO, Michael J ..................... 4Hebb MD, Donald B ......................... 4Henderson MD, Kathleen M............. 9Henseler MD, Laura ......................... 6Herbert MD, Christine V ................. 12Heru MD, Michael R ......................... 8Hight MD, Ellen B ............................. 6Hochberger MD, Daniel A .............. 15Hollinger MD, Walter A .................. 14Horan DO, John F ............................ 6Horrigan DO, Letitia A .................... 15Huang MD, Hao Y ............................ 5Hubbard MD, Kristen B .................... 7Humulock DO, Kimberly J .............. 16Hurteau DO, Brett J ....................... 12Hussain MD, Syed I ....................... 10Iacobucci MD, Richard P ................. 5Ibrahim MD, Farhat M .................... 16Iftikhar MD, Sadia .......................... 12Iovanel MD, Mihaela ........................ 6Jablow MD, Barbara W .................. 12Johnson MD, Shelly L .................... 15Kagan MD, Samuel .......................... 6Kaplan MD, Sheldon D .................. 14Karczmar MD, Peter .............. 5, 8, 16Kempner MD, Steven M................... 8Kennedy MD, Christine A ............... 12Kerzer DO, David G ......................... 4Kerzer DO, Martin J ....................... 16Khan MD, Jibran ............................ 17

Khan MD, Shahid A ......................... 7Khurshid MD, Shahzad .................... 5King DO, Gary G .............................. 8Koduri MD, Lalitha ......................... 10Kostrzewa MD, Dariusz ..................11Krusz MD, Stephanie J .................... 5Kumar MD, Tumkur B .................... 12Kupchan MD, Audrey R ................... 8Kurose MD, George A ..................... 8Lamendola MD, Chad E .................. 6Larson MD, Lucia ........................... 14Leibowitz DO, David E ................... 16Levin MD, William D........................11Liporaci Lucena MD, Rafael E .................................................... 12Lombardi MD, Anthony L ............... 16Louvet DO, Steve B ........................11Lu MD, Hua C .................................. 9Mackey-Fowler MD, Heather .......................................... 15Magee MD, Susanna ..................... 12Malhotra MD, Keya .................... 9, 14Mannarelli II DO, Leonard A ............ 5Manown MD, Timothy J ................... 4Mansourati MD, Fadi F .................. 10Manzo MD, Pierre R ........................ 6Marano MD, Leah M ........................ 7Marcaccio MD, Paul T.................... 16Marcoux MD, David A .................... 12Martin MD, Jonathan H .............. 9, 17Marz Jr DO, Albert F ........................ 8Mathieu MD, Robert S ................... 14McCleary MD, Katherine D ............ 17Mclaughlin MD, Suzanne E ........... 14Meer MD, Omar ............................... 8Mehta MD, Avanish ......................... 6Meila MD, Felicia ........................... 12Menon MD, Mridula ......................... 9Meren MD, Tesfaye ......................... 8Messitt DO, Amber M....................... 9Miller MD, Margaret A .................... 14Miner MD, Martin M ....................... 13Mirabal MD, Ernesto A ..................... 6Mitchell MD, Cristina ...................... 12Mohlman MD, Leslie C..................... 4Montes MD, Anne Camille A .....11, 13Moonan Jr MD, Denis E ................. 10Mortel MD, Kristine May A ... 9, 10, 14Morton MD, Kathleen O ................... 8Mourad MD, Jack P ..................... 5, 9Myers MD, James R ........................ 8Naga MD, Yehia M ........................ 12

Nasseri MD, Afshin .........................16Nothnagle MD, Melissa B ...............12Nowak MD, Mariola ..........................7Nugent MD, Sara F ...................10, 14Ofstead MD, Laura M .....................14O'Heelan DO, Kate ...........................9Oliva MD, Jeanne M .......................14O'Mara MD, Timothy J ....................15Osorio MD, Luis A .............................8Ottenstein MD, Karen .....................17Palmer DO, Christopher D ..............16Panneerselvam MD, Usha ................5Paolucci MD, Iwona ........................16Patel MD, Amrut R ............................5Perrelli MD, W Vincent ....................14Perrone MD, Howard F .................4, 8Pesta MD, Lynn C .................7, 14, 15Peters DO, Christopher T .................7Pickett MD, Brian J ...........................5Pineda MD, Jessica A .....................13Pollak MD, Edgar A ........................14Pomerantz MD, Michael A ......7, 8, 15Poshkus MD, Kristin M .....................7Poshkus MD, Michael T ..................15Pouliot DO, Monique L ....................15Puerini Jr MD, Albert J ......................4Rabatin MD, Joseph S ....................14Ramirez MD, Basilia C ....................17Rehmtulla MD, Masooma ...............14Rich MD, Deborah J .................12, 14Riedo MD, Sarah M ..........................4Roberts MD, Debra L ......................16Rodriguez MD, Faridah Tanya B ....................................11, 15Roland MD, Fredy P .......................12Romano Jr DO, Ronald A ...............11Rosenberg DO, Michael C ..............13Rosenberg MD, Mark ........................4Ross MD, James A ...........................4Rubeor DO, Amity ...........................12Ruggieri MD, Richard J ...................14Ryter MD, Richard J .......................15Salisbury MD, Matthew T ..................4Salloum MD, Ibrahem .......................9Sam MD, David A .......................4, 12Santoro MD, Ralph F ........................5Savoretti MD, Alberto R ....................9Savoretti MD, Frank ..........................9Schoenfeld MD, Larry J ....................8Schulman MD, Howard E .............4, 8Schwartz MD, James M ....................7Scott MD, Stephen M........................9

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ALPHABETICAL PHYSICIAN/PROVIDER LISTING

3(PO) Present Patients Only

IND

EX

Shah MD, Parul D ............................ 8Sherman MD, Charles B .................. 8Siedlecki MD, Diane R ................... 14Siegert MD, Nicole ......................... 12Slade DO, William J ....................... 15Slattery MD, John G......................... 6Small MD, Peter M ......................... 13Smigel MD, Karen R ........................ 6Smith MD, Jean F .......................... 14Solomon Jr DO, John J .................. 10Somasundar MD, Sukanya . 4, 5, 6, 7, 9, 13Sommerville MD, Lynn H ............... 14Somvanshi MD, Nicole P ................. 7Song MD, Young Do ........................ 5Sooch MD, Divjot K .................. 10, 15Soriano-Pisaturo MD, Maria A ............................................... 10, 14Souza DO, Michael C ...................... 7Sperber MD, Kenneth F ................. 12Steigman MD, David M .................. 14Steinmetz MD, Gregory J ............... 16

Stevenson MD, Karen H .............. 5, 8Stokoe MD, Usha ........................... 16Stoll MD, David B ........................... 17Stoukides MD, John A ................... 10Straus MD, John S ......................... 14Stuart DO, James G ............ 4, 16, 17Stump MD, Mariah H ........... 7, 14, 16Sud MD, Puneet ...................... 10, 14Sun MD, Gloria Y ....................... 7, 16Sun MD, Margaret A ........................ 7Taylor MD, Julie S ......................... 12Teixeira DO, Gilbert M ..................... 8Terlato MD, Joseph S ............ 7, 8, 14Toll MD, Elizabeth T ...................... 14Tong MD, Iris L .............................. 14Torf MD, Alane B ............................. 4Treger MD, Flora ............................. 7Troise MD, Caroline A.................... 14Tryforos MD, Margaret A ............... 12Turilli DO, Nicholas J ..................... 16Tverskaya MD, Olga V ..................... 6Tweedie DO, Patricia A ................. 16

Vaccaro MD, Carla M .................9, 11Vafidis MD, Constantine ...................7Valicenti MD, Daniel N ....................14VanPoznak MD, Marisa ............15, 16Vasudevan MD, Sreekala .....6, 12, 16Verma MD, Sunil P .........................17Wen MD, Jiaying .............................12Whelan MD, Cathleen A ...................4White MD, Jordan C .......................12Wilson MD, Jeffrey M........................5Wilson MD, Scott A ...............6, 11, 13Winston MD, Susanna E .................17Winters MD, Jeffry C .........................6Wong MD, Mariko K ..........................6Yamada MD, Hugo M .....................10Yearwood MD, Greigstone M .....................................................17Yerneni MD, Madhavi N ..................13Yess Jr MD, James P .......................8Zhang MD, Deqiang ..........................8Zibrida MD, Joseph T .....................16Zullo MD, Mark C ............................15

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PCPS LISTED BY TOWN *

4(PO) Present Patients Only*Must receive care within Select network of providers.

Rhode Island

PRIMARY CARE

Internal Medicine

1417094061 Banner MD, Kathryn A286 Maple Ave401-247-0610

PRIMARY CARE

Internal Medicine

1417094061 Banner MD, Kathryn A1180 Hope St401-253-8900

1346478534 Brumbaugh MD, Matthew A1180 Hope St401-253-8900

1518298272 Cevallos-Alomia MD, Maria L1180 Hope St401-253-8900LANGUAGES SPOKENSpanish

1598766537 Constantino MD, Cassandra X1180 Hope St401-253-8900LANGUAGES SPOKENPortuguese

1356342323 Dennison MD, Allen M1180 Hope St401-253-8900LANGUAGES SPOKENSpanish

1598766552 Fischer MD, Bruce E1180 Hope St401-253-8900LANGUAGES SPOKENPortuguese

1467453431 Hamilton MD, Geoffrey R1180 Hope St401-253-8900

1437150422 Harrop MD, Pamela A1180 Hope St401-253-8900

1265433262 Mohlman MD, Leslie C1180 Hope St401-253-8900

1134120157 Perrone MD, Howard F1180 Hope St401-253-8900

1467712349 Riedo MD, Sarah M1180 Hope St401-253-8900

1831190594 Ross MD, James A1180 Hope St401-253-8900

1992898233 Schulman MD, Howard E1180 Hope St401-253-8900

1639170533 Torf MD, Alane B1180 Hope St401-253-8900

1992706600 Whelan MD, Cathleen A1180 Hope St401-253-8900

PRIMARY CARE

Family Practice

1710962055 Sam MD, David A1000 Broad St401-726-1800

Internal Medicine

1972614733 Altongy MD, Gilbert J1002 Broad St Ste 3401-723-9250

PRIMARY CARE

Internal Medicine

1285685560 Demirs MD, Stuart VPO Box 9104099 Old Post Rd401-364-0770

1053324384 Stuart DO, James G3769 Old Post Rd #A401-213-6611

PRIMARY CARE

Family Practice

1104874320 Collins MD, Daniel F982 Tiogue Ave401-821-6800

1801924170 Golomb MD, Duane T595 Washington St401-822-2772

Internal Medicine

1841297033 Hebb MD, Donald B1620 Nooseneck Hill Rd401-821-6981

1538279880 Manown MD, Timothy J1620 Nooseneck Hill Rd401-821-6981

PRIMARY CARE

Family Practice

1770512766 Hayden DO, Michael J712 Oaklawn Ave Ste 5401-942-2320

1487641411 Kerzer DO, David G1500 Pontiac Ave401-944-4300

1821082777 Puerini Jr MD, Albert J65 Sockanosset Xrd401-943-6910

1053412767 Rosenberg MD, Mark65 Sockanosset Xrd401-943-6910

1477511236 Salisbury MD, Matthew T1500 Pontiac Ave Ste 101401-944-4300

1437173572 Somasundar MD, Sukanya1150 Reservoir Ave401-353-4936 1500 Pontiac Ave Ste 101401-944-4300 1681 Cranston St401-944-6889

Barrington

Bristol

Central Falls

Charlestown

Coventry

Cranston

Bar

ringt

on

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PCPS LISTED BY TOWN *

5(PO) Present Patients Only*Must receive care within Select network of providers.

PRIMARY CARE (continued)

Family Practice (continued)

351 Budlong Ave401-943-4735 725 Reservoir Ave Ste 103401-944-1200

1134113749 Wilson MD, Jeffrey M65 Sockanosset Xrd401-943-6910

Internal Medicine

1942333877 Alizadeh-Khosroshahi MD, Amir H725 Reservoir Ave #306401-354-4400

1043217250 Allen Jr DO, Gregory G1150 Reservoir Ave401-943-4735 1500 Pontiac Ave Ste 101401-944-4300 1681 Cranston St401-944-6889 351 Budlong Ave401-943-4735 725 Reservoir Ave Ste 103401-944-1200

1528053634 Azer MD, Wadid S1302 Elmwood Ave401-461-4700LANGUAGES SPOKENArabicFrenchPortugueseSpanish

1619994217 Beaupre MD, Stephen R1312 Oaklawn Ave401-463-3380

1639166655 Botelho MD, Dennis D1500 Pontiac Ave Ste 101401-944-4300

1497793285 Braun MD, Mark E351 Budlong Rd401-943-1860

1104890292 Cardi MD, James K677 Atwood Ave401-942-6500

1154393486 Cece MD, John A310 Atwood Ave401-383-0105LANGUAGES SPOKENItalian

1457794422 Dasari MD, Naresh K333 Budlong Rd401-943-4530LANGUAGES SPOKENHindiTelugu

1598840548 Dilorenzo MD, Joseph A1370 Cranston St401-943-4142

1457443236 Doyle MD, Jane M1150 Reservoir Ave401-943-4735 1500 Pontiac Ave Ste 101401-944-4300 1681 Cranston St401-944-6889

351 Budlong Ave401-943-4735 725 Reservoir Ave Ste 103401-944-1200

1679568802 Ejnes MD, Yul D75 Sockanosset Xrds401-946-6200

1902826316 Huang MD, Hao Y333 Budlong Rd401-943-4530LANGUAGES SPOKENChinese

1760578132 Iacobucci MD, Richard P1150 Reservoir Ave #203401-353-4936LANGUAGES SPOKENHindiItalianPortuguese

1124015813 Karczmar MD, PeterSte 10075 Sockanosset Xrds401-946-6200

1881754281 Khurshid MD, Shahzad1681 Cranston St401-944-6889 333 Budlong Rd401-943-4530LANGUAGES SPOKENHindiUrdu

1467553883 Krusz MD, Stephanie J905 Pontiac Ave401-464-6617

1982770764 Mannarelli II DO, Leonard A135 Atwood Ave401-944-1748LANGUAGES SPOKENItalian

1912972050 Mourad MD, Jack P226 Auburn St401-461-8450LANGUAGES SPOKENFrench

1114944006 Panneerselvam MD, Usha351 Budlong Rd401-943-1860LANGUAGES SPOKENTamil

1255419602 Patel MD, Amrut R1370 Cranston St401-943-1616LANGUAGES SPOKENGujaratiHindi

1497828628 Pickett MD, Brian J905 Pontiac Ave401-464-6617

1710098249 Santoro MD, Ralph F1681 Cranston St401-737-7010

1457699431 Song MD, Young Do333 Budlong Rd401-943-4539

1609861723 Stevenson MD, Karen H75 Sockanosset Xrd Ste 100401-946-6200

Cranston (continued)

Cranston

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PCPS LISTED BY TOWN *

6(PO) Present Patients Only*Must receive care within Select network of providers.

PRIMARY CARE (continued)

Internal Medicine (continued)

1427141209 Tverskaya MD, Olga V712 Oaklawn Ave Ste 4401-943-9011LANGUAGES SPOKENRussian

1992790018 Winters MD, Jeffry C75 Sockanosset Xrd Ste 100401-946-6200

1497984454 Wong MD, Mariko KSte 10075 Sockanosset Xrd401-946-6200

PRIMARY CARE

Family Practice

1629181268 Coia DO, David2138 Mendon Rd401-769-4100

1851423743 Dubois-Hall DO, Diane I2138 Mendon Ave Ste 102401-475-4004 2138 Mendon Rd Ste 102401-475-4004

1437173572 Somasundar MD, Sukanya106 Nate Whipple Hwy401-658-2020 2138 Mendon Rd Ste 102401-475-4004

Internal Medicine

1043217250 Allen Jr DO, Gregory G106 Nate Whipple Hwy401-658-2020 2138 Mendon Rd Ste 102401-475-4735

1003860172 Balon MD, Stanley RSte 204175 Nate Whipple Hwy401-658-1744

1790880490 Crausman MD, Robert SSte 101106 Nate Whipple Hwy401-658-2020

1457443236 Doyle MD, Jane M106 Nate Whipple Hwy401-658-2020 2138 Mendon Rd Ste 102401-475-4735

1801982491 Girach MD, Altaf A2138 Mendon Rd Ste 101401-333-8500LANGUAGES SPOKENHindi

1871772160 Haneef MD, Neenoofar106 Nate Whipple Hwy401-658-2020

1710094321 Iovanel MD, MihaelaSte 208175 Nate Whipple Hwy401-658-0511

1619932282 Mehta MD, Avanish2138 Mendon Rd Ste 101401-333-8500

1215953377 Mirabal MD, Ernesto A2138 Mendon Rd Ste 101B401-333-5700

1215041975 Vasudevan MD, Sreekala2138 Mendon Rd Ste 101401-333-5700

1619974672 Wilson MD, Scott A106 Nate Whipple Hwy Ste 101401-658-2020 Ste 101106 Nate Whipple Hwy401-658-2020

PRIMARY CARE

Family Practice

1013145275 Andelloux MD, Derek A3461 S County Trl401-471-6760

1649250069 Blackmer MD, Karen1351 S County Trl Ste 301401-398-0860LANGUAGES SPOKENItalianSpanish

1992725790 Cesario MD, Carla A3461 S County Trl401-471-6760

1609861053 Fallon DO, Frank H6 Wanton Shippee Rd401-884-2476

1366551202 Green DO, Thomas L688 Frenchtown Rd Ste 1401-885-5193

1821071622 Harrison MD, Emily C1407 S County Trl #150401-727-4800LANGUAGES SPOKENGreek

1073575049 Henseler MD, Laura3461 S County Trl401-471-6760

1548240971 Hight MD, Ellen B1351 S County Trl Ste 301401-398-0860

1679567531 Horan DO, John F6 Wanton Shippee Rd401-884-2476

1821074345 Kagan MD, Samuel925 Main St401-884-5333

1285670265 Lamendola MD, Chad E925 Main St401-884-5333LANGUAGES SPOKENSpanish

1033199468 Manzo MD, Pierre R1351 S County Trl Ste 301401-398-0860

1033109236 Slattery MD, John G925 Main St401-884-5333

1114905528 Smigel MD, Karen R3461 S County Trl401-471-6760

1437173572 Somasundar MD, Sukanya1407 S County Trl Ste 437401-471-6406

Cranston (continued)

Cumberland

E Greenwich

Cra

nsto

n

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PCPS LISTED BY TOWN *

7(PO) Present Patients Only*Must receive care within Select network of providers.

PRIMARY CARE (continued)

Family Practice (continued)

1417926890 Somvanshi MD, Nicole P3461 S County Trl401-471-6760

Internal Medicine

1043217250 Allen Jr DO, Gregory G1407 S County Trl Ste 432401-471-6405

1104859271 Azam MD, Munawar M1351 S County Trl Ste 215401-886-9700LANGUAGES SPOKENHindi

1659489060 Brennan DO, Herbert J2358 South County Trl401-886-6000

1811943525 Chofay MD, Dana R1672 S County Trl Ste 303401-884-0020

1740383389 Cronin III DO, Charles L2358 S County Trl401-886-6000

1942318357 Delsesto MD, Richard M3461 S County Trl Ste 303401-471-6510

1275520678 Fried MD, David L1351 S County Trl Ste 115401-884-0333

1033158647 Glickman MD, Denise F1672 S County Trl Ste 303401-884-0020LANGUAGES SPOKENSpanish

1033471206 Hubbard MD, Kristen B1351 S County Trl Ste 115401-884-0333

1104907625 Khan MD, Shahid A1351 S County Trl Ste 215401-886-9700 Ste 215 Bldg 21351 S County Trl401-886-9700LANGUAGES SPOKENHindi

1245456011 Marano MD, Leah M1672 S County Trl Ste 303401-884-0020

1508812165 Nowak MD, Mariola1672 S County Trl Ste 303401-884-0020LANGUAGES SPOKENPolish

1689940322 Pesta MD, Lynn C1454 South County Trl401-606-4205

1184910481 Peters DO, Christopher T2358 S County Trl401-886-6000

1437146131 Pomerantz MD, Michael A1351 S County Trl Ste 115401-884-0333

1558317008 Poshkus MD, Kristin M1672 S County Trl Ste 303401-884-0020LANGUAGES SPOKENSomaliSpanish

1841550738 Stump MD, Mariah H1454 S County Trl401-793-5700

1992745350 Sun MD, Gloria Y3461 S County Trl401-471-6760

1770577298 Terlato MD, Joseph S1351 S County Trl Ste 100401-435-0333

1952355349 Treger MD, Flora1672 S County Trl Ste 303401-884-0020LANGUAGES SPOKENSpanish

PRIMARY CARE

Family Practice

1205811635 Alves DO, Joyce A1445 Wampanoag Trl #205401-434-0730

1285610600 Garg DO, Manoj K1445 Wampanoag Trl Ste 205401-434-0730

1730164211 Schwartz MD, James M1445 Wampanoag Trl #205401-434-0730 900 Warren Ave Ste 100401-383-9662

1437173572 Somasundar MD, Sukanya1 Office Pkwy401-435-3325

1740254150 Souza DO, Michael C2761 Pawtucket Ave401-434-3350

1174508584 Sun MD, Margaret A1990 Pawtucket Ave401-632-0955

1467683227 Vafidis MD, Constantine684 Warren Ave401-434-0022

Internal Medicine

1043217250 Allen Jr DO, Gregory G1 Office Pkwy401-435-3325

1083622922 Armenio MD, Vincent A1 Office Pkwy Ste 201401-435-3325

1417910555 Ayvazyan MD, HermanSte 12450 Veterans Meml Pkwy401-434-6464LANGUAGES SPOKENSpanish

1992811871 Bansal MD, Priya900 Warren Ave Ste 100401-331-1221

1417944190 Bansal MD, Rajnish900 Warren Ave Ste 400401-331-1221

1730281346 Bauman MD, Anne G1 Office Pkwy401-435-3325

E Greenwich (continued)

E Providence

E Greenw

ich

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PCPS LISTED BY TOWN *

8(PO) Present Patients Only*Must receive care within Select network of providers.

PRIMARY CARE (continued)

Internal Medicine (continued)

1144217829 Burns MD, Suzanne P900 Warren Ave Ste 400401-331-1221LANGUAGES SPOKENPortugueseSpanish

1437414307 Chittargi MD, Samarth S1 Office Pkwy401-435-3325

1356342323 Dennison MD, Allen M950 Warren Ave401-228-7887LANGUAGES SPOKENSpanish

1457443236 Doyle MD, Jane M1 Office Pkwy401-435-3325

1144306721 Drogin MD, Jeffrey H450 Veterans Meml Pkwy Bldg 1E401-434-5050

1497073712 Fischer MD, Joshua EBldg 6450 Veterans Mem Pkwy401-435-5533

1568457224 Gaines MD, John A900 Warren Ave Ste 400401-331-1221

1346237039 Gilman MD, Ronald MBldg 6450 Veterans Meml Pkwy401-435-5522

1356337745 Greenier MD, Vanessa R900 Warren Ave Ste 400401-331-1221

1124015813 Karczmar MD, PeterBldg 6450 Veterans Mem Pkwy401-435-5533

1780671149 Kempner MD, Steven M900 Warren Ave Ste 400401-331-1221

1609863125 Kupchan MD, Audrey R900 Warren Ave Ste 400401-331-1221

1992799407 Kurose MD, George A450 Veterans Mem Pkwy #4401-435-3400

1699824474 Meer MD, Omar400 Warren Ave Ste 01401-438-7778LANGUAGES SPOKENUrdu

1336136852 Meren MD, Tesfaye900 Warren Ave Ste 400401-331-1221

1821241332 Morton MD, Kathleen O900 Warren Ave Ste 400401-331-1221

1578550265 Myers MD, James R450 Veterans Mem Pkwy401-435-5533

1427042860 Osorio MD, Luis A450 Veterans Meml Pkwy Bldg 6401-435-5533 900 Warren Ave Ste 400401-331-1221

1134120157 Perrone MD, Howard F950 Warren Ave401-228-7887

1437146131 Pomerantz MD, Michael ABldg 6450 Veterans Mem Pkwy401-435-5533

1245227768 Schoenfeld MD, Larry J900 Warren Ave Ste 400401-331-1221

1992898233 Schulman MD, Howard E950 Warren Ave401-228-7832

1972560258 Shah MD, Parul D900 Warren Ave Ste 400401-331-1221LANGUAGES SPOKENGujaratiHindi

1952398653 Sherman MD, Charles B450 Veterans Mem Pkwy # 6401-435-5533

1609861723 Stevenson MD, Karen H900 Warren Ave Ste 400401-331-1221

1194702530 Teixeira DO, Gilbert M400 Massasoit Ave #300401-434-2704

1770577298 Terlato MD, Joseph S900 Warren Ave Ste 100401-421-6481

1952338840 Yess Jr MD, James P450 Veterans Meml Pkwy #4401-435-3400 900 Warren Ave Ste 400401-331-1221

1831327642 Zhang MD, DeqiangBldg 4450 Veterans Meml Pkwy401-435-3400

PRIMARY CARE

Family Practice

1184651911 Fanning DO, Stephen A466 Putnam Pike401-949-2010 466 Putnam Pk401-949-2010

1285739813 King DO, Gary G600 Putnam Pike Ste 1401-949-5552

1376581629 Marz Jr DO, Albert F466 Putnam Pike401-949-2010

Internal Medicine

1982651626 Heru MD, Michael R466 Putnam Pike401-949-2010 466 Putnam Pk401-949-2010

E Providence (continued)

Greenville

E Pr

ovid

ence

Page 14: 2016 BlueCHiP for Medicare Advance Primary Care Physician … · 2017. 11. 1. · 3 This guide provides a list of the BlueCHiP for Medicare Advance network primary care physicians

PCPS LISTED BY TOWN *

9(PO) Present Patients Only*Must receive care within Select network of providers.

PRIMARY CARE (continued)

Internal Medicine (continued)

1083927271 Malhotra MD, Keya715 Putnam Pk401-949-1333LANGUAGES SPOKENHindi

PRIMARY CARE

Family Practice

1699772467 England MD, Joseph J20 Southwest Ave401-423-2616

1326300963 Goddard MD, Lauren A20 Southwest Ave401-423-2616

1285613448 Vaccaro MD, Carla M20 Southwest Ave401-423-2616

PRIMARY CARE

Family Practice

1013963818 Austin DO, Jason K1524 Atwood Ave Ste 200401-272-1900

1811125081 Buckley MD, Jennifer L1126 Hartford Ave Ste 101401-351-2750

Internal Medicine

1578588067 Beliveau MD, William J1524 Atwood Ave Ste 220401-272-1900LANGUAGES SPOKENItalian

1437123403 Brown MD, Rebecca M14 Old Pocasset Ave401-751-5146

1417063603 Calikyan MD, Raffi1524 Atwood Ave Ste 220401-272-1900

1952395022 Dicenso MD, Angelo1524 Atwood Ave Ste 445401-453-2190LANGUAGES SPOKENItalian

1518288075 Ferri DO, Vito F1539 Atwood Ave Ste 101401-272-3410

1013903400 Ferri MD, Fred F1539 Atwood Ave Ste 101401-272-3410

1861417354 Gordon DO, Kathleen P1524 Atwood Ave Ste 220401-272-1900LANGUAGES SPOKENItalian

1306157730 Messitt DO, Amber M1539 Atwood Ave Ste 101401-272-3410

1912972050 Mourad MD, Jack P1524 Atwood Ave Ste 220401-272-1900

1245527845 Salloum MD, Ibrahem1524 Atwood Ave Ste 220401-272-1900

1033205745 Savoretti MD, Alberto R1539 Atwood Ave Ste 101401-272-3410

1750377149 Savoretti MD, Frank1539 Atwood Ave Ste 101401-272-3410

1730152505 Scott MD, Stephen M1524 Atwood Ave Ste 225401-272-5468

PRIMARY CARE

Family Practice

1174513451 O'Heelan DO, KateSte 7016 Blackstone Vly Pl401-333-3111

1437173572 Somasundar MD, Sukanya6 Blackstone Vly Pl401-334-6250

Internal Medicine

1043217250 Allen Jr DO, Gregory G6 Blackstone Vly Pl401-334-6250

1710983523 Appenfeller MD, Rex W1 Commerce St 2nd FL401-793-8500

1932164589 Asiedu MD, Daniel K6 Blackstone Vly Pl Ste 701401-333-3111

1033115712 Cohen MD, Robert H1 Commerce St 2nd FL401-793-8500

1407839657 Cushing-Brescia MD, Anne ESte 7016 Blackstone Vly Pl401-333-3111

1225018955 D'Alessandro MD, Frank M2 Wake Robin Rd Ste 103401-334-3105

1457443236 Doyle MD, Jane M6 Blackstone Vly Pl401-334-6250

1841296597 Henderson MD, Kathleen M1 Commerce St 2nd FL401-793-8500

1962499897 Lu MD, Hua C6 Blackstone Vly Pl Ste 502401-334-6250

1528209335 Martin MD, Jonathan H2 Wake Robin Rd Ste 103401-334-3105

1427045301 Menon MD, Mridula6 Blackstone Valley Pl Ste 701401-333-3111LANGUAGES SPOKENHindiMalayalam

1396905832 Mortel MD, Kristine May A725 Albion Crt401-231-0450

Greenville (continued)

Jamestown

Johnston

Lincoln

Greenville

Page 15: 2016 BlueCHiP for Medicare Advance Primary Care Physician … · 2017. 11. 1. · 3 This guide provides a list of the BlueCHiP for Medicare Advance network primary care physicians

PCPS LISTED BY TOWN *

10(PO) Present Patients Only*Must receive care within Select network of providers.

PRIMARY CARE (continued)

Internal Medicine (continued)

1932196904 Yamada MD, Hugo MSte 5026 Blackstone Vly Pl401-334-6250

PRIMARY CARE

Internal Medicine

1508851601 Cicchelli MD, Robert O850 Aquidneck Ave401-846-0055

1720073406 Cunningham MD, David FCoastal Medical Inc850 Aquidneck Ave401-846-0055

PRIMARY CARE

Internal Medicine

1851348353 Nugent MD, Sara F308 Callahan Rd401-295-9706LANGUAGES SPOKENFrench

PRIMARY CARE

Internal Medicine

1942333877 Alizadeh-Khosroshahi MD, Amir H1637 Mineral Spring Ave Ste 107401-354-4400

1417063603 Calikyan MD, Raffi1352 Smith St401-353-4500

1447317730 D'Alessandro MD, Frank B1515 Smith St401-353-1110LANGUAGES SPOKENItalian

1518298918 Deyhimpanah MD, Babak1352 Smith St401-453-4500 200 High Service Ave401-272-1900

1831201839 DiCecco MD, David A1352 Smith St401-353-4500

1750475992 Gauthier MD, Edward J200 High Service Ave401-456-4300

1619922192 Koduri MD, Lalitha1352 Smith St401-354-4500LANGUAGES SPOKENHindiTelugu

1548245962 Mansourati MD, Fadi F966 Mineral Spring Ave401-475-3063

1386626174 Moonan Jr MD, Denis E1515 Smith St Ste N401-353-0555

1396905832 Mortel MD, Kristine May A2 Atlantic Blvd401-231-0450

1598943250 Soriano-Pisaturo MD, Maria A1 Atlantic Blvd401-231-0450

1639176357 Stoukides MD, John A2 Atlantic Blvd401-231-0450

1598762346 Sud MD, PuneetSte 2001635 Mineral Spring Ave401-649-4600LANGUAGES SPOKENHindiPanjabi

PRIMARY CARE

Family Practice

1174579643 Crawford MD, Kim J33 Danielson Pike401-647-7411

PRIMARY CARE

Family Practice

1104836568 Bacon DO, Alvin C598 Great Rd Lower Level401-534-6784

1184756199 Dubois DO, Carol J501 Great Rd Ste 102401-766-6700

1134251135 Dubois DO, David R501 Great Rd Ste 102401-766-6700

1861529158 Solomon Jr DO, John J594 Great Rd Ste 103401-768-3700

1275731853 Sooch MD, Divjot K10 Rhodes Ave401-233-7611

Internal Medicine

1790880490 Crausman MD, Robert S904 Victory Hwy401-658-2020

1871772160 Haneef MD, Neenoofar594 Great Rd401-762-2728

1144285081 Hussain MD, Syed I63 Eddie Dowling Hwy401-762-0210 65 Eddie Dowling Hwy401-769-2222

Lincoln (continued)

Middletown

N Kingstown

N Providence

N Scituate

N Smithfield

Linc

oln

Page 16: 2016 BlueCHiP for Medicare Advance Primary Care Physician … · 2017. 11. 1. · 3 This guide provides a list of the BlueCHiP for Medicare Advance network primary care physicians

PCPS LISTED BY TOWN *

11(PO) Present Patients Only*Must receive care within Select network of providers.

PRIMARY CARE (continued)

Internal Medicine (continued)

1265403554 Romano Jr DO, Ronald ASte 103176 Eddie Dowling Hwy401-766-4900

1619974672 Wilson MD, Scott A594 Great Rd401-762-2728

PRIMARY CARE

Family Practice

1851467161 Briones MD, Leah E360 Kingstown Rd401-783-6940

1386861623 DeGood DO, Catherine A360 Kingstown Rd401-783-6940

1134278369 Gonzalez MD, Eileen M360 Kingstown Rd Ste 200401-783-6940

1265433908 Gonzalez MD, Michael J B360 Kingstown Rd Ste 200401-783-6940

1134129257 Gross MD, Monica L360 Kingstown Rd Ste 104401-789-1086LANGUAGES SPOKENFrench

1154317600 Kostrzewa MD, Dariusz360 Kingstown Rd Ste 200401-783-6940LANGUAGES SPOKENPolish

Internal Medicine

1568400653 Cunniff DO, Kristine A350 Kingstown Rd Ste 101401-782-0700

PRIMARY CARE

Family Practice

1932182615 Bradshaw DO, Kenneth G19 Friendship St Ste 130401-845-2113

1699772467 England MD, Joseph J19 Friendship St Ste 130401-845-2113

1972500429 Fantes MD, Thomas P11 Friendship St401-845-3810 19 Friendship St Ste 130401-845-2113

1336146562 Levin MD, William D19 Frienship St Unit 130401-845-2113

1629208293 Louvet DO, Steve B19 Friendship St 130401-845-2113

1679767453 Montes MD, Anne Camille A19 Friendship St Ste 130401-845-2113

1902050503 Rodriguez MD, Faridah Tanya B19 Friendship St Ste 130401-845-2113

1285613448 Vaccaro MD, Carla M19 Friendship St Ste 130401-845-2113

PRIMARY CARE

Family Practice

1558342311 Anandarajah MD, Gowri111 Brewster St401-729-2769

1508847377 Anthony MD, David C111 Brewster St401-729-2000

1477523488 Ashley MD, David W111 Brewster St401-729-2000

1326151937 Behtash DO, Solmaz126 Prospect St Ste 101401-365-4060

1154304996 Borkan MD, Jeffrey M111 Brewster St401-729-2000

1598853566 Campanile MD, Christopher P727 East Ave401-725-6160

1477561348 Cancro MD, Carol S407 East Ave401-273-0641

1477536415 Chandran MD, Rabin F111 Brewster St401-729-2000

1922076736 Duarte MD, Kristina M111 Brewster St401-729-2000

1942283841 Eaton MD, Charles B111 Brewster St401-729-2000 111 Brewster St401-729-2769

1285746925 El Rayess MD, Fadya111 Brewster St401-729-2000

1427283035 Filip MD, Anna B111 Brewster St401-729-2000

1790898328 George MD, Paul F111 Brewster St401-729-2000

1730498171 Gomes DO, Elizabeth M42 Park Pl401-727-4800

1588810956 Hagos MD, Hana T727 East Ave401-725-6160

1821071622 Harrison MD, Emily C407 East Ave401-727-4800 42 Park Pl401-727-4800LANGUAGES SPOKENGreek

N Smithfield (continued)

Narragansett

Newport

Pawtucket

N Sm

ithfield

Page 17: 2016 BlueCHiP for Medicare Advance Primary Care Physician … · 2017. 11. 1. · 3 This guide provides a list of the BlueCHiP for Medicare Advance network primary care physicians

PCPS LISTED BY TOWN *

12(PO) Present Patients Only*Must receive care within Select network of providers.

PRIMARY CARE (continued)

Family Practice (continued)

1972616019 Hurteau DO, Brett J111 Brewster St401-729-2000

1306934369 Jablow MD, Barbara W727 East Ave401-725-6160

1285722231 Kennedy MD, Christine A727 East Ave401-725-6160

1487638003 Magee MD, Susanna111 Brewster St401-729-2000

1407943814 Mitchell MD, Cristina727 East Ave401-725-6160

1023092806 Nothnagle MD, Melissa B111 Brewster St401-729-2000

1134173206 Rubeor DO, Amity111 Brewster St401-729-2206

1710962055 Sam MD, David A111 Brewster St401-729-2206

1750678082 Siegert MD, Nicole111 Brewster St401-729-7000

1154382562 Sperber MD, Kenneth F727 East Ave401-725-6160

1265417836 Taylor MD, Julie S111 Brewster St401-729-2206

1295710879 Tryforos MD, Margaret A111 Brewster St401-729-2769

1821104290 White MD, Jordan C111 Brewster St401-729-2304

Internal Medicine

1750495271 Agarwal MD, Purva111 Brewster St401-729-2000

1528020765 Al-Raqqad MD, Ahmad K333 School St Ste 210401-726-9790LANGUAGES SPOKENArabic

1346202967 Amin MD, Kim S333 School St Ste 215401-724-6070

1295882223 Coppola MD, Joyce174 Armistice Blvd Unit C401-725-3520

1356324248 Diaz MD, Joseph A111 Brewster St401-729-2000

1912136086 Elhamamsy MD, Salaheldin M333 School St Ste 210401-724-6616

1750343299 Eller MD, Peter M407 East Ave Ste 120401-725-4700

1144459314 Fabre MD, Maria V174 Armistice Blvd Ste B401-729-2500

1821309972 Fonseca-Valencia MD, Carolina174 Armistice Blvd Ste B401-729-2500

1922111632 Genese MD, Thomas O249 Roosevelt Ave401-456-4325

1043326978 Gul MD, Amber333 School St Ste 210401-726-9790

1154363695 Guzman MD, Levis M139 Benefit St401-475-0002

1871772160 Haneef MD, Neenoofar174 Armistice Blvd401-723-7578

1629148986 Hanna-Trad MD, Linda J174 Armistice Blvd Ste B401-729-2500

1346202884 Herbert MD, Christine V407 East Ave Ste 120401-725-4700

1730257957 Iftikhar MD, Sadia126 Prospect St Ste 103401-725-8866LANGUAGES SPOKENHindiPanjabiUrdu

1538184338 Kumar MD, Tumkur B333 School St Ste 204401-728-0630LANGUAGES SPOKENHindi

1366715633 Liporaci Lucena MD, Rafael E174 Armistice Blvd401-723-7278

1730140864 Marcoux MD, David A407 East Ave Ste 120401-725-4700

1720049802 Meila MD, Felicia407 East Ave Ste 120401-725-4700LANGUAGES SPOKENFrenchRomanianSpanish

1013290451 Naga MD, Yehia M111 Brewster St401-729-2000

1023050531 Rich MD, Deborah J249 Roosevelt Ave401-723-2820

1124080254 Roland MD, Fredy P333 School St Ste 215401-722-1880

1215041975 Vasudevan MD, Sreekala59 Prospect St401-728-1080

1275570921 Wen MD, Jiaying126 Prospect St Ste 103401-725-8866LANGUAGES SPOKENChinese

Pawtucket (continued)

Paw

tuck

et

Page 18: 2016 BlueCHiP for Medicare Advance Primary Care Physician … · 2017. 11. 1. · 3 This guide provides a list of the BlueCHiP for Medicare Advance network primary care physicians

PCPS LISTED BY TOWN *

13(PO) Present Patients Only*Must receive care within Select network of providers.

PRIMARY CARE (continued)

Internal Medicine (continued)

1619974672 Wilson MD, Scott A174 Armistice Blvd401-723-7578

1053375832 Yerneni MD, Madhavi N407 East Ave Ste 120401-725-4700LANGUAGES SPOKENHindiTelugu

PRIMARY CARE

Family Practice

1679767453 Montes MD, Anne Camille A161 Chase Rd401-845-2113

PRIMARY CARE

Family Practice

1720059025 Brown MD, Joanna593 Eddy St401-444-5980

1235193707 Genese DO, Josephine50 Maude St 4th Fl401-456-5300

1083678023 Miner MD, Martin M164 Summit Ave401-793-4636

1831416312 Pineda MD, Jessica A101 Dudley St401-459-0230

1972533503 Rosenberg DO, Michael C335 Hope St401-272-1832

1972557346 Small MD, Peter M825 Chalkstone Ave401-456-2000

1437173572 Somasundar MD, Sukanya1195 N Main St401-334-8555 335 Hope St401-272-1832

Internal Medicine

1043217250 Allen Jr DO, Gregory G1195 N Main St401-331-8555 335 Hope St401-272-1832 50 Maude St 4th Fl401-456-5300

1083622922 Armenio MD, Vincent A825 Chalkstone Ave401-456-2000

1528053634 Azer MD, Wadid S770 N Main St401-455-3574LANGUAGES SPOKENArabicFrenchPortugueseSpanish

1730281346 Bauman MD, Anne G1195 N Main St 2nd Fl401-331-8555

1629347638 Belosloudtseva MD, Natalia101 Dudley St401-453-7950

1902804313 Berg MD, Geoffrey H160 Wayland Ave401-521-1221

1538106240 Blecker MD, Douglas L101 Dudley St401-274-1100

1548205735 Bodkin MD, Sheenagh M146 West River St401-793-5700

1497793285 Braun MD, Mark E50 Maude St401-456-6510 877 Chalkstone Ave401-456-5418

1437123403 Brown MD, Rebecca M700 Smith St401-621-6464 825 Chalkstone Ave401-456-2000

1053364984 Cineas MD, Sybil593 Eddy St POB Ste 224401-444-6118LANGUAGES SPOKENSpanish

1013109891 Clark Bilodeau MD, Courtney146 West River St401-793-5700

1225018955 D'Alessandro MD, Frank M1195 N Main St401-334-8555

1639175482 Dorris MD, Heidi J1 Hoppin St 3rd FL401-793-8400

1457443236 Doyle MD, Jane M1195 N Main St401-331-8555 335 Hope St401-272-1832 50 Maude St 4th Fl401-456-5300

1760477962 Emgushov MD, Rinchen-Tz O78 Baker St401-781-2400

1043293517 Fanale MD, James E300 Richmond St401-430-2172

1477864486 Felix MD, Benjamin R593 Eddy St401-444-6118

1750475992 Gauthier MD, Edward J200 High Service Ave401-456-3411 21 Peace St401-456-4080 825 Chalkstone Ave401-456-2000

1922111632 Genese MD, Thomas O21 Peace St401-456-4325

Pawtucket (continued)

Portsmouth

Providence

Pawtucket

Page 19: 2016 BlueCHiP for Medicare Advance Primary Care Physician … · 2017. 11. 1. · 3 This guide provides a list of the BlueCHiP for Medicare Advance network primary care physicians

PCPS LISTED BY TOWN *

14(PO) Present Patients Only*Must receive care within Select network of providers.

PRIMARY CARE (continued)

Internal Medicine (continued)

1225034077 Goddard MD, Joan C1 Hoppin St 3rd FL401-793-8400

1629063847 Goldfarb MD, Amy78 Baker St401-781-2400

1932105780 Grumbach MD, Nicholas M593 Eddy St401-444-6118

1679663405 Hollinger MD, Walter A21 Peace St401-456-4300

1336155563 Kaplan MD, Sheldon D827 N Main St401-273-6830

1487687984 Larson MD, Lucia146 W River St401-793-7410

1083927271 Malhotra MD, Keya50 Maude St401-456-2104 825 Chalkstone Ave401-456-2000LANGUAGES SPOKENHindi

1659377315 Mathieu MD, Robert S1 Hoppin St 3rd FL401-793-8400

1215919782 Mclaughlin MD, Suzanne E593 Eddy St401-444-6118LANGUAGES SPOKENSpanish

1134145097 Miller MD, Margaret A146 W River St 3rd Fl401-793-5700

1396905832 Mortel MD, Kristine May A825 Chalkstone Ave401-231-0450

1851348353 Nugent MD, Sara F146 W River St 3rd Fl401-793-5700

1437106382 Ofstead MD, Laura M101 Dudley St401-274-1100

1831146877 Oliva MD, Jeanne M101 Dudley St401-453-7950

1902806219 Perrelli MD, W Vincent2 Atlantic Blvd401-231-0450 50 Maude St401-231-0450 825 Chalkstone Ave401-456-2000

1689940322 Pesta MD, Lynn C146 W River St401-793-5700

1629100920 Pollak MD, Edgar A100 Ray Dr401-347-2556

1124067301 Rabatin MD, Joseph S100 Ray Dr401-455-6200

1194012203 Rehmtulla MD, Masooma78 Baker St401-421-4000LANGUAGES SPOKENGujaratiHindiMarathi

1023050531 Rich MD, Deborah J21 Peace St401-456-4325

1700883055 Ruggieri MD, Richard J160 Wayland Ave401-521-1221

1265438923 Siedlecki MD, Diane R1 Hoppin St 3rd FL401-793-8400

1043241615 Smith MD, Jean F1195 N Main St401-331-8555 909 N Main St401-521-2002LANGUAGES SPOKENFrenchItalianSpanish

1063586295 Sommerville MD, Lynn H845 N Main St Ste 5401-331-8338

1598943250 Soriano-Pisaturo MD, Maria A825 Chalkstone Ave401-231-0450

1134291735 Steigman MD, David M235 Plain St Ste 306401-331-7160LANGUAGES SPOKENPortugueseSpanish

1639164270 Straus MD, John S189 Governor St Ste 202401-455-1772

1841550738 Stump MD, Mariah H146 West River St401-793-3856

1598762346 Sud MD, Puneet825 Chalkstone Ave401-456-2000

1770577298 Terlato MD, Joseph S1075 Smith St401-421-4400

1619922085 Toll MD, Elizabeth T593 Eddy St Ste 224401-444-6118LANGUAGES SPOKENSpanish

1033150586 Tong MD, Iris L146 West River St401-793-5700

1972509636 Troise MD, Caroline A1 Hoppin St 3rd FL401-793-8400

1013901248 Valicenti MD, Daniel N50 Maude St 4th Fl401-456-5300 825 Chalkstone Ave401-456-2007

Providence (continued)

Prov

iden

ce

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PCPS LISTED BY TOWN *

15(PO) Present Patients Only*Must receive care within Select network of providers.

PRIMARY CARE (continued)

Internal Medicine (continued)

1235359142 VanPoznak MD, Marisa146 West River St401-793-5700

PRIMARY CARE

Internal Medicine

1497836969 Hochberger MD, Daniel A400 Pawtucket Ave401-431-6224LANGUAGES SPOKENPortugueseSpanish

PRIMARY CARE

Family Practice

1740256395 Ackerman MD, Emily JPO Box 927261 Main St Ste 102401-597-5656

PRIMARY CARE

Family Practice

1689685042 Corsi DO, John M28 Cedar Swamp Rd401-232-3688

1386627248 Fraioli Jr DO, Frank41 Sanderson Rd Ste 206401-349-2203

1275731853 Sooch MD, Divjot K400 Putnam Pk401-233-7611

Internal Medicine

1205154523 De Leon MD, Lauren M41 Sanderson Rd Ste 201401-949-0300

1568457224 Gaines MD, John A41 Sanderson Rd Ste 201401-949-0300

1356337745 Greenier MD, Vanessa R41 Sanderson Rd Ste 201401-949-0300

1407134745 Hans MD, Nidhi41 Sanderson Rd Ste 201401-949-0300LANGUAGES SPOKENHindiMarathiPanjabi

1437146131 Pomerantz MD, Michael A41 Sanderson Rd Ste 201401-349-0960

1861487951 Ryter MD, Richard J41 Sanderson Rd Ste 201401-949-0300

PRIMARY CARE

Family Practice

1972500429 Fantes MD, Thomas P1800 Main Rd401-624-1400

1902050503 Rodriguez MD, Faridah Tanya B1800 Main Rd401-624-1400

PRIMARY CARE

Family Practice

1649291527 Arcand MD, Denise M1079 Main St Ste A401-828-2663

Internal Medicine

1952341075 Poshkus MD, Michael T186 Providence St401-615-2800

PRIMARY CARE

Family Practice

1720076011 Ambrad MD, Jamiel J730 Kingstown Rd Unit B5401-783-1022

1588810956 Hagos MD, Hana T70 Kenyon Ave Ste 326401-789-8543

1548294218 Mackey-Fowler MD, Heather70 Kenyon Ave Ste 211401-789-8543

1730414640 Slade DO, William J70 Kenyon Ave Ste 215401-783-0084

1588675698 Zullo MD, Mark C70 Kenyon Ave Ste 211401-789-8543

Internal Medicine

1528007432 Barratt MD, Paul F481 Kingstown Rd401-789-0283

1215924063 D'Souza DO, Rikhi J481 Kingstown Rd401-789-0283

1457399388 Damle MD, Nitin S481 Kingstown Rd401-789-0283LANGUAGES SPOKENFrenchSpanish

1760622617 Horrigan DO, Letitia A481 Kingstown Rd401-782-0429

1528055191 Johnson MD, Shelly L70 Kenyon Ave Ste 215401-783-0084

1205879608 O'Mara MD, Timothy J481 Kingstown Rd401-789-0283LANGUAGES SPOKENFrenchItalianPortugueseSpanish

1689940322 Pesta MD, Lynn C25 S County Commons Way401-739-5700

1285674614 Pouliot DO, Monique L481 Kingstown Rd401-789-0283LANGUAGES SPOKENFrenchSpanish

Providence (continued)

Rumford

Slatersville

Smithfield

Tiverton

W Warwick

Wakefield

Providence

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PCPS LISTED BY TOWN *

16(PO) Present Patients Only*Must receive care within Select network of providers.

PRIMARY CARE (continued)

Internal Medicine (continued)

1053324384 Stuart DO, James G481 Kinstown Rd401-348-3865

1841550738 Stump MD, Mariah H25 S County Commons Way401-793-5700

1992745350 Sun MD, Gloria Y70 Kenyon Ave Ste 326401-789-8543

PRIMARY CARE

Family Practice

1477570018 Leibowitz DO, David E851 Main St401-247-1000

Internal Medicine

1407961196 Agatiello MD, Paul J639 Metacom Ave401-245-1500

1427087576 Amalfitano Jr MD, Frank J639 Metacom Ave401-245-1500

1386708923 Grande MD, Karen D639 Metacom Ave401-245-1500

1922030303 Marcaccio MD, Paul T639 Metacom Ave401-245-1500

Metacom Medical Assoc639 Metacom Ave401-245-1500

1356379242 Zibrida MD, Joseph T639 Metacom Ave401-245-1500

PRIMARY CARE

Family Practice

1629399951 Bauer MD, Benjamin J215 Tollgate Rd401-273-0641

1811125081 Buckley MD, Jennifer L215 Tollgate Rd401-736-4570

1629063219 Callahan MD, Keith L390 Tollgate Rd Ste 108401-921-5672

1710983366 Foreman DO, Douglas S1444 Warwick Ave401-463-5750

1245551571 Furey MD, Christopher M215 Tollgate Rd Ste 204401-736-4570

1881709616 Grande DO, Joseph A1243 Post Rd401-941-2999

1962495416 Kerzer DO, Martin J857 Post Rd401-467-3115

1649386442 Roberts MD, Debra L215 Tollgate Rd401-736-4570

1043294630 Steinmetz MD, Gregory J857 Post Rd401-467-3115

1215994405 Stokoe MD, Usha200 Tollgate Rd Ste 204401-732-8081

1639130651 Tweedie DO, Patricia A215 Tollgate Rd401-737-1426

Internal Medicine

1255376455 Boudjouk MD, Jason B190 Commerce Dr Ste 102401-921-5970LANGUAGES SPOKENArabicSpanish

1962439612 Chaffey DO, John A215 Tollgate Rd Ste 209401-825-8200

1588745491 Chliwner MD, Irene S400 Bald Hill Rd Ste 520401-793-8520

1740383389 Cronin III DO, Charles L215 Toll Gate Rd401-737-7000

1003044256 Favreau MD, Stephanie P400 Bald Hill Rd Ste 520401-793-8520

1932105780 Grumbach MD, Nicholas M400 Bald Hill Rd Ste 520401-793-8520

1679790059 Hardy MD, George E400 Bald Hill Rd Ste 520401-793-8520

1831154574 Humulock DO, Kimberly J190 Commerce Dr Ste 102401-921-5970

1457358442 Ibrahim MD, Farhat M176 Tollgate Rd Ste 203401-739-4350

1124015813 Karczmar MD, Peter400 Bald Hill Rd Ste 529401-921-0444

1154372472 Lombardi MD, Anthony L21 College Hill Rd 1st FL401-828-6800 444 W Shore Rd401-738-7014

1316924897 Nasseri MD, Afshin300 Tollgate Rd Ste 101B401-737-1188

1003102302 Palmer DO, Christopher D215 Tollgate Rd401-737-7000

1811077811 Paolucci MD, Iwona215 Tollgate Rd Ste 209401-773-7901LANGUAGES SPOKENPolish

1265599393 Turilli DO, Nicholas J444 West Shore Rd401-738-7014

1235359142 VanPoznak MD, Marisa215 Tollgate Rd401-736-4570

1215041975 Vasudevan MD, Sreekala300 Tollgate Rd401-921-1990

Wakefield (continued)

Warren

Warwick

Wak

efie

ld

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PCPS LISTED BY TOWN *

17(PO) Present Patients Only*Must receive care within Select network of providers.

PRIMARY CARE (continued)

Internal Medicine (continued)

1710966775 Verma MD, Sunil P176 Tollgate Rd Ste 103401-732-1700

1194942433 Winston MD, Susanna E400 Bald Hill Rd Ste 520401-793-8520LANGUAGES SPOKENFrench

PRIMARY CARE

Family Practice

1386608164 Andreozzi III DO, Rocco J77 Franklin St401-596-6464

1578577037 Giancaspro MD, Joseph P77 Franklin St401-596-6464

Internal Medicine

1679686117 Beauchamp MD, John C85 Beach St401-596-0328

1508879685 Duhig MD, Rosalinda G77 Franklin St401-596-6464

1003853268 Fox MD, Robert E45 Wells St401-348-0788

1528209335 Martin MD, Jonathan H77 Franklin St401-596-6464

1053324384 Stuart DO, James G25 Wells St401-348-3865 45 East Ave401-637-4186 45 Wells St401-315-5595 46 Wells St401-596-0174

PRIMARY CARE

Internal Medicine

1477516912 Capalbo MD, Robert A320 Phillips St Ste 201401-295-3120

1144283276 Hance MD, Robert V320 Phillips St Ste 201401-295-3120

PRIMARY CARE

Internal Medicine

1063460426 Ahmad MD, IrfanSte 10420 Cumberland Hill Rd401-765-4100LANGUAGES SPOKENHindiUrdu

1609947472 Desmarais MD, Roland JSte 20320 Cumberland Hill Rd401-765-3333LANGUAGES SPOKENFrench

1902803935 Khan MD, JibranSte 20820 Cumberland Hill Rd401-765-1200LANGUAGES SPOKENHindiPanjabiUrdu

1942258249 Ramirez MD, Basilia CSte 10420 Cumberland Hill Rd401-766-7785LANGUAGES SPOKENTagalog

1114927431 Stoll MD, David B176 Cass Ave401-765-3135 55 Hamlet Ave401-766-9500

1689631640 Yearwood MD, Greigstone M191 Social St Ste 840401-762-2535

Massachusetts

PRIMARY CARE

Internal Medicine

1245229384 El-Twal MD, Muhand S528 Newton St508-675-1522

PRIMARY CARE

Family Practice

1467747816 Goldburt MD, Alla60 Messenger St508-695-9933LANGUAGES SPOKENRussian

1811150238 McCleary MD, Katherine D60 Messenger St508-695-9933

PRIMARY CARE

Family Practice

1083628382 Ottenstein MD, Karen793 Man Rd508-636-7980LANGUAGES SPOKENPortuguese

Warwick (continued)

Westerly

Wickford

Woonsocket

Fall River

Plainville

Westport

Warw

ick

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The provider network may change at any time. You will receive notice when necessary. Blue Cross & Blue Shield of Rhode Island is an HMO plan with a Medicare contract. Enrollment in Blue Cross & Blue Shield of Rhode Island depends on

contract renewal. An independent licensee of the Blue Cross and Blue Shield Association.

500 Exchange Street • Providence, RI 02903-2699

03/16 BMED-37875 • 1385