MEDICARE: AMY BERROL PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA00182	RI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	979003699	OTHER		MEDICARE
3	709004434	OTHER	RI	GROUP MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154316370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY BERROL PA

Provider Business Mailing Address
First Line	:	10 DAVOL SQ
Second Line	:	SUITE 400
City	:	PROVIDENCE
State	:	RI
Zip	:	02903-4754
Country	:	US
Telephone Number	:	401-421-4000
Fax Number	:	401-272-1456

Provider Business Practice Location Address
First Line	:	70 KENYON AVE
Second Line	:	SUITE 215
City	:	WAKEFIELD
State	:	RI
Zip	:	02879-4239
Country	:	US
Telephone Number	:	401-783-0084
Fax Number	:	401-782-0005

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	09/16/2013

Similar Medicare Providers

1710203666 — KAITLIN R LEE M.D.
Practice Location Address:

70 KENYON AVE
WAKEFIELD, RI
02879-4239

Practice Phone: 401-789-0661
Practice Fax: 401-788-3958

1689661241 — DR. J RUSSELL CORCORAN MD
Practice Location Address:

70 KENYON AVE , SUITE 215
WAKEFIELD, RI
02879-4239

Practice Phone: 401-783-0084
Practice Fax: 401-782-0005

1578547592 — ANDREW P NEUHAUSER M.D.
Practice Location Address:

70 KENYON AVE , SUITE 103
WAKEFIELD, RI
02879-4239

Practice Phone: 701-789-0661
Practice Fax: 401-788-3958

1760450753 — JOAN M SPENCER PCNS
Practice Location Address:

70 KENYON AVE , 326
WAKEFIELD, RI
02879-4239

Practice Phone: 401-788-1277
Practice Fax: 401-788-1514

1679529333 — KATHLEEN ANNE CASSIN MD
Practice Location Address:

70 KENYON AVE , SUITE 103
WAKEFIELD, RI
02879-4239

Practice Phone: 401-789-0661
Practice Fax: 401-788-3958

1376590794 — JAMES RUSSELL CARLSTEN MD
Practice Location Address:

70 KENYON AVE
WAKEFIELD, RI
02879-4239

Practice Phone: 401-782-3803
Practice Fax:

Directions to “ AMY BERROL PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.