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November 2014 v8 - Page 1 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
TABLE OF CONTENTS
PERSONAL CARE PHYSICIAN ............................................................................................................................................... 2 SPECIALIST ......................................................................................................................................................................... 17 HOSPITAL INPATIENT FACILITIES ....................................................................................................................................... 18 LABORATORY FACILITIES ................................................................................................................................................... 19 PHYSICAL THERAPY CENTERS ............................................................................................................................................ 22 OCCUPATIONAL THERAPY CENTERS ................................................................................................................................. 29 RADIOLOGY FACILITIES ..................................................................................................................................................... 32 SLEEP CENTERS .................................................................................................................................................................. 35 SPEECH THERAPY CENTERS ............................................................................................................................................... 35
Tier 1 Provider Listing
SelectRI
November 2014 v8 - Page 2 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PERSONAL CARE PHYSICIAN PRACTICE SITE PROVIDER ADDRESS CITY STATE ZIP PHONE SPECIALTY
EAST BAY PEDIATRICS
DENNISON, JANE, MD 234 MAPLE AVE BARRINGTON RI 02806 (401) 247‐1644 PEDIATRICS
FERRETTI, MARCOLINO, MD 234 MAPLE AVE BARRINGTON RI 02806 (401) 247‐1644 PEDIATRICS
GRENANDER, ANGELA, MD 234 MAPLE AVE BARRINGTON RI 02806 (401) 247‐1644 PEDIATRICS
MEDICAL ASSOCIATES OF RI
BANNER, KATHRYN, MD 286 MAPLE AVE BARRINGTON RI 02806 (401) 247‐0610 INTERNAL MEDICINE
CYRONAK, ANDRA, MD 286 MAPLE AVE BARRINGTON RI 02806 (401) 247‐0610 INTERNAL MEDICINE
DENNISON, ALLEN, MD 286 MAPLE AVE BARRINGTON RI 02806 (401) 247‐0610 INTERNAL MEDICINE
GAGNER, MARGARET, NP 286 MAPLE AVE BARRINGTON RI 02806 (401) 247‐0610 NP/PCP
HART, ELAINE, NP 286 MAPLE AVE BARRINGTON RI 02806 (401) 247‐0630 NP/PCP
PERRONE, HOWARD, MD 286 MAPLE AVE BARRINGTON RI 02806 (401) 247‐0610 INTERNAL MEDICINE
BANNER, KATHRYN, MD 1180 HOPE ST BRISTOL RI 02809 (401) 253‐8900 INTERNAL MEDICINE
BRUMBAUGH, MATTHEW, MD
1180 HOPE ST BRISTOL RI 02809 (401) 253‐8900 INTERNAL MEDICINE
CASTRO, NANCY, NP 1180 HOPE ST BRISTOL RI 02809 (401) 253‐8900 NP/PCP
CHACE, PATRICIA, MD 1180 HOPE ST BRISTOL RI 02809 (401) 253‐8900 INTERNAL MEDICINE
CONSTANTINO, CASSANDRA, MD
1180 HOPE ST BRISTOL RI 02809 (401) 253‐8900 INTERNAL MEDICINE
CYRONAK, ANDRA, MD 1180 HOPE ST BRISTOL RI 02809 (401) 253‐8900 INTERNAL MEDICINE
DENNISON, ALLEN, MD 1180 HOPE ST BRISTOL RI 02809 (401) 253‐8900 INTERNAL MEDICINE
FERREIRA, PAULA, NP 1180 HOPE ST BRISTOL RI 02809 (401) 253‐8900 NURSE PRACTITIONER
FISCHER, BRUCE, MD 1180 HOPE ST BRISTOL RI 02809 (401) 253‐8900 INTERNAL MEDICINE
GAGNER, MARGARET, NP 1180 HOPE ST BRISTOL RI 02809 (401) 253‐8900 NP/PCP
HAMILTON, GEOFFREY, MD 1180 HOPE ST BRISTOL RI 02809 (401) 253‐8900 INTERNAL MEDICINE
HARROP, PAMELA, MD 1180 HOPE ST BRISTOL RI 02809 (401) 253‐8900 INTERNAL MEDICINE
KAPPLER, KATHLEEN, NP 1180 HOPE ST BRISTOL RI 02809 (401) 253‐8900 NP/PCP
MOHLMAN, LESLIE, MD 1180 HOPE ST BRISTOL RI 02809 (401) 253‐8900 INTERNAL MEDICINE
ORBAN, ZSOLT, MD 1180 HOPE ST BRISTOL RI 02809 (401) 253‐8900 INTERNAL MEDICINE
PERRONE, HOWARD, MD 1180 HOPE ST BRISTOL RI 02809 (401) 253‐8900 INTERNAL MEDICINE
ROSS, JAMES, MD 1180 HOPE ST BRISTOL RI 02809 (401) 253‐8900 INTERNAL MEDICINE
TORF, ALANE, MD 1180 HOPE ST BRISTOL RI 02809 (401) 253‐8900 INTERNAL MEDICINE
WHELAN, CATHLEEN, MD 1180 HOPE ST BRISTOL RI 02809 (401) 253‐8900 INTERNAL MEDICINE
BLACKSTONE VALLEY COMM HEALTH
FOSTER, AMERICA, MD 9 CHESTNUT ST CENTRAL FALLS RI 02863 (401) 724‐7110 FAMILY PRACTICE
November 2014 v8 - Page 3 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE PROVIDER ADDRESS CITY STATE ZIP PHONE SPECIALTY
STUART DEMIRS DEMIRS, STUART, MD 4099 OLD POST RD CHARLESTOWN RI 02813 (401) 364‐0770
INTERNAL MEDICINE
MAYO, GINA, NP 4099 OLD POST RD CHARLESTOWN RI 02813 (401) 364‐0770 NP/PCP
COASTAL MEDICAL
BRANNON, REGINA, NP 75 SOCKANOSSET CROSSROADS CRANSTON RI 02920 (800) 508‐4908 NP/PCP*
BRENNAN, JOAN, NP 75 SOCKANOSSET CROSSROADS CRANSTON RI 02920 (800) 508‐4908 NP/PCP*
CAMPBELL, JOSEPH, MD 75 SOCKANOSSET CROSSROADS CRANSTON RI 02920 (800) 508‐4908
INTERNAL MEDICINE
EJNES, YUL, MD 75 SOCKANOSSET CROSSROADS CRANSTON RI 02920 (800) 508‐4908
INTERNAL MEDICINE
LOMBARDI JR, ANTHONY, MD 75 SOCKANOSSET CROSSROADS CRANSTON RI 02920 (800) 508‐4908
INTERNAL MEDICINE
STEVENSON, KAREN, MD 75 SOCKANOSSET CROSSROADS CRANSTON RI 02920 (800) 508‐4908
INTERNAL MEDICINE
WINTERS, JEFFRY, MD 75 SOCKANOSSET CROSSROADS CRANSTON RI 02920 (800) 508‐4908
INTERNAL MEDICINE
MICHAEL HAYDEN HAYDEN, MICHAEL, DO 712 OAKLAWN AVE CRANSTON RI 02920 (401) 942‐2320 FAMILY PRACTICE
RICHARD OHNMACHT OHNMACHT, RICHARD, MD 994 RESERVOIR AVE CRANSTON RI 02910 (401) 946‐1944 PEDIATRICS
UNIVERSITY MEDICAL GROUP
BOTELHO, DENNIS, MD 1500 PONTIAC AVE CRANSTON RI 02920 (401) 944‐4300 INTERNAL MEDICINE
KERZER, DAVID, DO 1500 PONTIAC AVE CRANSTON RI 02920 (401) 944‐4300 FAMILY PRACTICE
SALISBURY, MATTHEW, MD 1500 PONTIAC AVE CRANSTON RI 02920 (401) 944‐4300 FAMILY PRACTICE
SOMASUNDAR, SUKANYA, MD
1500 PONTIAC AVE CRANSTON RI 02920 (401) 944‐4300 FAMILY PRACTICE
WOODRIDGE MEDICAL ASSOCIATES
BRAUN, MARK, MD 351 BUDLONG RD CRANSTON RI 02920 (401) 943‐1860 INTERNAL MEDICINE
PANNEERSELVAM, USHA, MD 351 BUDLONG RD CRANSTON RI 02920 (401) 943‐1860 INTERNAL MEDICINE
FAMILY HEALTH AND SPORTS MEDICINE
PUERINI JR, ALBERT, MD 725 RESERVOIR AVE CRANSTON RI 02910 (401) 943‐6910 FAMILY PRACTICE
ROSENBERG, MARK, MD 725 RESERVOIR AVE CRANSTON RI 02910 (401) 943‐6910 FAMILY PRACTICE
WILSON, JEFFREY, MD 725 RESERVOIR AVE CRANSTON RI 02910 (401) 943‐6910 FAMILY PRACTICE
MIHAELA IOVANEL IOVANEL, MIHAELA, MD 175 NATE WHIPPLE HWY CUMBERLAND RI 02864 (401) 658‐0511 INTERNAL MEDICINE
COASTAL MEDICAL
AHAVA, LISA, PA 1351 S COUNTY TRL EAST GREENWICH RI 02818 (800) 508‐4908 PA/PCP*
FRIED, DAVID, MD 1351 S COUNTY TRL EAST GREENWICH RI 02818 (800) 508‐4908 INTERNAL MEDICINE
GLENN, HEATHER, NP 1351 S COUNTY TRL EAST GREENWICH RI 02818 (800) 508‐4908 NP/PCP*
LAURIA, PAMELA, NP 1351 S COUNTY TRL EAST GREENWICH RI 02818 (800) 508‐4908 NP/PCP*
OBARA, KATHERINE, NP 1351 S COUNTY TRL EAST GREENWICH RI 02818 (800) 508‐4908 NP/PCP*
VICCIONE, TODD, MD 1351 S COUNTY TRL EAST GREENWICH RI 02818 (800) 508‐4908 INTERNAL MEDICINE
EAST GREENWICH FAMILY PRACTICE
COTTER, SHARON, NP 925 MAIN ST EAST GREENWICH RI 02818 (401) 884‐5333 NP/PCP
SLATTERY, JOHN, MD 925 MAIN ST EAST GREENWICH RI 02818 (401) 884‐5333 FAMILY PRACTICE
PERSONAL CARE PHYSICIAN
*Please note: Physician Assistants (PA) and Nurse Practitioners (NP) cannot be designated as your primary care physician.
November 2014 v8 - Page 4 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE PROVIDER ADDRESS CITY STATE ZIP PHONE SPECIALTY
EAST GREENWICH FAMILY PRACTICE
LAMENDOLA, CHAD, MD 925 MAIN ST EAST GREENWICH RI 02818 (401) 884‐5333 FAMILY PRACTICE
KAGAN, SAMUEL, MD 925 MAIN ST EAST GREENWICH RI 02818 (401) 884‐5333 FAMILY PRACTICE
AWCRI/WOMENS CARE HARRISON, EMILY, MD 1407 S COUNTY TRL EAST GREENWICH RI 02818 (401) 727‐4800 FAMILY PRACTICE
RICHARD DELSESTO DELSESTO, RICHARD, MD 3461 S COUNTY TRL EAST GREENWICH RI 02818 (401) 471‐6510 INTERNAL MEDICINE
SILVER SPRING HEALTHCARE
ANDELLOUX, DEREK, MD 3461 S COUNTY TRL EAST GREENWICH RI 02818 (401) 471‐6760 FAMILY PRACTICE
HENSELER, LAURA, MD 3461 S COUNTY TRL EAST GREENWICH RI 02816 (401) 471‐6760 FAMILY PRACTICE
SMIGEL, KAREN, MD 3461 S COUNTY TRL EAST GREENWICH RI 02818 (401) 471‐6760 FAMILY PRACTICE
UNIVERSITY FAMILY MEDICINE
BLACKMER, KAREN, MD 1351 S COUNTY TRL EAST GREENWICH RI 02818 (401) 398‐0860 FAMILY PRACTICE
CONNOR, SUSAN, PA 1351 S COUNTY TRL EAST GREENWICH RI 02818 (401) 398‐0860 PA/PCP
HIGHT, ELLEN, MD 1351 S COUNTY TRL EAST GREENWICH RI 02818 (401) 398‐0860 FAMILY PRACTICE
MANZO, PIERRE, MD 1351 S COUNTY TRL EAST GREENWICH RI 02818 (401) 398‐0860 FAMILY PRACTICE
RUSSELL, JESSICA, PA 1351 S COUNTY TRL EAST GREENWICH RI 02818 (401) 398‐0860 PA/PCP
COASTAL MEDICAL
ALVES, JOYCE, DO 1445 WAMPANOAG TRL EAST PROVIDENCE RI 02915 (800) 508‐4908 FAMILY PRACTICE
GARG, MANOJ, DO 1445 WAMPANOAG TRL EAST PROVIDENCE RI 02915 (800) 508‐4908 FAMILY PRACTICE
SCHWARTZ, JAMES, MD 1445 WAMPANOAG TRL EAST PROVIDENCE RI 02915 (800) 508‐4908 FAMILY PRACTICE
BREX III, CHARLES, MD 450 VETERANS MEML PKWY EAST PROVIDENCE RI 02914 (800) 508‐4908 INTERNAL MEDICINE
ERICKSON‐LAKEWAY, BETHANY, NP
450 VETERANS MEML PKWY EAST PROVIDENCE RI 02914 (800) 508‐4908 NP/PCP*
FISCHER, JOSHUA, MD 450 VETERANS MEML PKWY EAST PROVIDENCE RI 02914 (800) 508‐4908 INTERNAL MEDICINE
FONTES‐BORTS, LUCIA, NP 450 VETERANS MEML PKWY EAST PROVIDENCE RI 02914 (800) 508‐4908 NP/PCP*
GILMAN, RONALD, MD 450 VETERANS MEML PKWY EAST PROVIDENCE RI 02914 (800) 508‐4908 INTERNAL MEDICINE
JUTRAS, KAREN, NP 450 VETERANS MEML PKWY EAST PROVIDENCE RI 02914 (800) 508‐4908 NP/PCP*
KARCZMAR, PETER, MD 450 VETERANS MEML PKWY EAST PROVIDENCE RI 02914 (800) 508‐4908 INTERNAL MEDICINE
KUROSE, GEORGE, MD 450 VETERANS MEML PKWY EAST PROVIDENCE RI 02914 (800) 508‐4908 INTERNAL MEDICINE
MYERS, JAMES, MD 450 VETERANS MEML PKWY EAST PROVIDENCE RI 02914 (800) 508‐4908 INTERNAL MEDICINE
OSORIO, LUIS, MD 450 VETERANS MEML PKWY EAST PROVIDENCE RI 02914 (800) 508‐4908 INTERNAL MEDICINE
POMERANTZ, MICHAEL, MD 450 VETERANS MEML PKWY EAST PROVIDENCE RI 02914 (800) 508‐4908 INTERNAL MEDICINE
PRESSMAN, MITCHELL, MD 450 VETERANS MEML PKWY EAST PROVIDENCE RI 02914 (800) 508‐4908 INTERNAL MEDICINE
SHERMAN, CHARLES, MD 450 VETERANS MEML PKWY EAST PROVIDENCE RI 02914 (800) 508‐4908 INTERNAL MEDICINE
WEISER, TOBY, PA 450 VETERANS MEML PKWY EAST PROVIDENCE RI 02914 (800) 508‐4908 PA/PCP*
YESS JR, JAMES, MD 450 VETERANS MEML PKWY EAST PROVIDENCE RI 02914 (800) 508‐4908 INTERNAL MEDICINE
ZHANG, DEQIANG, MD 450 VETERANS MEML PKWY EAST PROVIDENCE RI 02914 (800) 508‐4908 INTERNAL MEDICINE
*Please note: Physician Assistants (PA) and Nurse Practitioners (NP) cannot be designated as your primary care physician.
PERSONAL CARE PHYSICIAN
November 2014 v8 - Page 5 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE PROVIDER ADDRESS CITY STATE ZIP PHONE SPECIALTY
COASTAL MEDICAL
BANSAL, PRIYA, MD 900 WARREN AVE EAST PROVIDENCE RI 2914 (800) 508‐4908 INTERNAL MEDICINE
BLISS, CYNTHIA, MD 900 WARREN AVE EAST PROVIDENCE RI 2914 (800) 508‐4908 PEDIATRICS
BURCHARD, BARBARA, NP 900 WARREN AVE EAST PROVIDENCE RI 2914 (800) 508‐4908 NP/PCP*
BURNS, SUZANNE, MD 900 WARREN AVE EAST PROVIDENCE RI 2914 (800) 508‐4908 INTERNAL MEDICINE
CARR, ANGELA, PA 900 WARREN AVE EAST PROVIDENCE RI 2914 (800) 508‐4908 PA/PCP*
DORROS, CAROL, MD 900 WARREN AVE EAST PROVIDENCE RI 2914 (800) 508‐4908 INTERNAL MEDICINE
FINIGAN, JOHN, MD 900 WARREN AVE EAST PROVIDENCE RI 2914 (800) 508‐4908 PEDIATRICS
GAGNON, SHERRY, NP 900 WARREN AVE EAST PROVIDENCE RI 2914 (800) 508‐4908 NP/PCP*
GAINES, BARBARA, MD 900 WARREN AVE EAST PROVIDENCE RI 2914 (800) 508‐4908 PEDIATRICS
KEMPNER, STEVEN, MD 900 WARREN AVE EAST PROVIDENCE RI 2914 (800) 508‐4908 INTERNAL MEDICINE
KUPCHAN, AUDREY, MD 900 WARREN AVE EAST PROVIDENCE RI 2914 (800) 508‐4908 INTERNAL MEDICINE
LANGE, ELIZABETH, MD 900 WARREN AVE EAST PROVIDENCE RI 2914 (800) 508‐4908 PEDIATRICS
MCGOOKIN, EDWARD, MD 900 WARREN AVE EAST PROVIDENCE RI 2914 (800) 508‐4908 PEDIATRICS
MEREN, TESFAYE, MD 900 WARREN AVE EAST PROVIDENCE RI 2914 (800) 508‐4908 INTERNAL MEDICINE
MORTON, KATHLEEN, MD 900 WARREN AVE EAST PROVIDENCE RI 2914 (800) 508‐4908 INTERNAL MEDICINE
SCHOENFELD, LARRY, MD 900 WARREN AVE EAST PROVIDENCE RI 2914 (800) 508‐4908 INTERNAL MEDICINE
SETTE, MARY, NP 900 WARREN AVE EAST PROVIDENCE RI 2914 (800) 508‐4908 NP/PCP*
SHAH, PARUL, MD 900 WARREN AVE EAST PROVIDENCE RI 2914 (800) 508‐4908 INTERNAL MEDICINE
SHAW, JUDITH, MD 900 WARREN AVE EAST PROVIDENCE RI 2914 (800) 508‐4908 PEDIATRICS
TERLATO, JOSEPH, MD 900 WARREN AVE EAST PROVIDENCE RI 2914 (800) 508‐4908 INTERNAL MEDICINE
WARD, LAUREN, MD 900 WARREN AVE EAST PROVIDENCE RI 2914 (800) 508‐4908 PEDIATRICS
GILBERT TEIXEIRA
TAVARES, LAURA, NP 1018 WATERMAN AVE EAST PROVIDENCE RI 02914 (401) 434‐2704 NP/PCP
TEIXEIRA, GILBERT, DO 1018 WATERMAN AVE EAST PROVIDENCE RI 02914 (401) 434‐2704 INTERNAL MEDICINE
MICHAEL SOUZA
NATALIZIA, GINA, NP 2761 PAWTUCKET AVE EAST PROVIDENCE RI 02914 (401) 434‐3350 NP/PCP
SOUZA, MICHAEL, DO 2761 PAWTUCKET AVE EAST PROVIDENCE RI 02914 (401) 434‐3350 FAMILY PRACTICE
EAST BAY COMMUNITY ACTION
GUTTMACHER, THOMAS, MD 100 BULLOCKS PT AVE EAST PROVIDENCE RI 02915 (401) 437‐1008 FAMILY PRACTICE
UNIVERSITY MEDICINE
GRAUEL, LAURIE, MD 1275 WAMPANOAG TRL EAST PROVIDENCE RI 02915 (401) 433‐9880 PEDIATRICS
HEREC, DAVID, MD 1275 WAMPANOAG TRL EAST PROVIDENCE RI 02915 (401) 433‐9880 INTERNAL MEDICINE
WELLONE
GIOVETTI, MARY, MD 142A DANIELSON PK FOSTER RI 02825 (401) 647‐3702 FAMILY PRACTICE
HOKENESS, STEVEN, MD 142A DANIELSON PK FOSTER RI 02825 (401) 647‐3702 INTERNAL MEDICINE
JADERQUIST‐BASSETT, CATHLEEN, NP
142A DANIELSON PK FOSTER RI 02825 (401) 647‐3702 NP/PCP
PERSONAL CARE PHYSICIAN
*Please note: Physician Assistants (PA) and Nurse Practitioners (NP) cannot be designated as your primary care physician.
November 2014 v8 - Page 6 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE PROVIDER ADDRESS CITY STATE ZIP PHONE SPECIALTY
GARY KING KING, GARY, DO 600 PUTNAM PIKE GREENVILLE RI 02828 (401) 949‐5552 FAMILY PRACTICE
WOOD RIVER HEALTH SERVICES
BERGERON, JOHN, MD 823 MAIN ST HOPE VALLEY RI 02832 (401) 539‐2461 INTERNAL MEDICINE
CAMPAGNARI, CHRISTOPHER, MD
823 MAIN ST HOPE VALLEY RI 02832 (401) 539‐2461 FAMILY PRACTICE
GETTMAN, HELEN, NP 823 MAIN ST HOPE VALLEY RI 02832 (401) 539‐2461 NP/PCP
HINTEREGGER, FRANCES, MD 823 MAIN ST HOPE VALLEY RI 02832 (401) 539‐2461 INTERNAL MEDICINE
JOHNSON, KAREN, NP 823 MAIN ST HOPE VALLEY RI 02832 (401) 539‐2461 NP/PCP
KOZEL, MARGARET, MD 823 MAIN ST HOPE VALLEY RI 02832 (401) 539‐2461 PEDIATRICS
LICHTENBERG, KRISTIN, MD 823 MAIN ST HOPE VALLEY RI 02832 (401) 539‐2461 FAMILY PRACTICE
MENARD‐MANLOVE, LISA, MD
823 MAIN ST HOPE VALLEY RI 02832 (401) 539‐2461 FAMILY PRACTICE
JADERQUIST‐BASSETT, CATHLEEN, NP
823 MAIN ST HOPE VALLEY RI 02832 (401) 539‐2461 NP/PCP
OCEAN STATE MEDICAL
FERRI, FRED, MD 1539 ATWOOD AVE JOHNSTON RI 02919 (800) 508‐4908 INTERNAL MEDICINE
SAVORETTI, ALBERTO, MD 1539 ATWOOD AVE JOHNSTON RI 02919 (800) 508‐4908 INTERNAL MEDICINE
SAVORETTI, FRANK, MD 1539 ATWOOD AVE JOHNSTON RI 02919 (800) 508‐4908 INTERNAL MEDICINE
ANCHOR LINCOLN PEDIATRIC
BERAHA, NATHAN, MD 1 COMMERCE ST LINCOLN RI 02865 (401) 793‐8484 PEDIATRICS
CUMMINGS, MICHAEL, MD 1 COMMERCE ST LINCOLN RI 02865 (401) 793‐8484 PEDIATRICS
GILLEN, MALINI, MD 1 COMMERCE ST LINCOLN RI 02865 (401) 793‐8484 PEDIATRICS
PAKULA, SUSAN, MD 1 COMMERCE ST LINCOLN RI 02865 (401) 793‐8484 PEDIATRICS
WESTRICK, JUDITH, MD 1 COMMERCE ST LINCOLN RI 02865 (401) 793‐8484 PEDIATRICS
COASTAL MEDICAL ASIEDU, DANIEL, MD 6 BLACKSTONE VALLEY PL LINCOLN RI 02865 (800) 508‐4908 INTERNAL MEDICINE
COASTAL MEDICAL
CUSHING‐BRESCIA, ANNE, MD
6 BLACKSTONE VALLEY PL LINCOLN RI 02865 (800) 508‐4908 INTERNAL MEDICINE
MENON, MRIDULA, MD 6 BLACKSTONE VALLEY PL LINCOLN RI 02865 (800) 508‐4908 INTERNAL MEDICINE
O’HEELAN, KATE, DO 6 BLACKSTONE VALLEY PL LINCOLN RI 02865 (800) 508‐4908 INTERNAL MEDICINE
LINCOLN PEDIATRIC ASSOCIATES
BLANCHARD, COLLEEN, NP 6 BLACKSTONE VALLEY PL LINCOLN RI 02865 (401) 334‐4021 NP/PCP
LINCOLN PEDIATRIC ASSOCIATES
HINES, THOMAS, MD 6 BLACKSTONE VALLEY PL LINCOLN RI 02865 (401) 334‐4021 PEDIATRICS
MADRAS, KAREN, MD 6 BLACKSTONE VALLEY PL LINCOLN RI 02865 (401) 334‐4021 PEDIATRICS
MARANZANO, ELIZABETH, MD
6 BLACKSTONE VALLEY PL LINCOLN RI 02865 (401) 334‐4021 PEDIATRICS
SOWA, MARTA, MD 6 BLACKSTONE VALLEY PL LINCOLN RI 02865 (401) 334‐4021 PEDIATRICS
TEIXEIRA, RICHARD, MD 6 BLACKSTONE VALLEY PL LINCOLN RI 02865 (401) 334‐4021 PEDIATRICS
UNIVERSITY MEDICAL GROUP
FERREIRA, MARIA, NP 6 BLACKSTONE VALLEY PL LINCOLN RI 02865 (401) 334‐6252 NP/PCP
LU, HUA, MD 6 BLACKSTONE VALLEY PL LINCOLN RI 02865 (401) 334‐6250 INTERNAL MEDICINE
YAMADA, HUGO, MD 6 BLACKSTONE VALLEY PL LINCOLN RI 02865 (401) 334‐6250 INTERNAL MEDICINE
PERSONAL CARE PHYSICIAN
November 2014 v8 - Page 7 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE PROVIDER ADDRESS CITY STATE ZIP PHONE SPECIALTY
ANCHOR MEDICAL
APPENFELLER, REX, MD 1 COMMERCE ST LINCOLN RI 02865 (401) 793‐8500 INTERNAL MEDICINE
ARIETA, JACQUELYN, NP 1 COMMERCE ST LINCOLN RI 02865 (401) 793‐8484 NP/PCP
COHEN, ROBERT, MD 1 COMMERCE ST LINCOLN RI 02865 (401) 793‐8500 INTERNAL MEDICINE
CONNORS, GEORGE, PA 1 COMMERCE ST LINCOLN RI 02865 (401) 793‐8500 PA/PCP
CORRENTE, MARIE, NP 1 COMMERCE ST LINCOLN RI 02865 (401) 793‐8484 NP/PCP
HENDERSON, KATHLEEN, MD 1 COMMERCE ST LINCOLN RI 02865 (401) 793‐8500 INTERNAL MEDICINE
RANEY, JENNIFER, MD 1 COMMERCE ST LINCOLN RI 02865 (401) 793‐8500 FAMILY PRACTICE
COASTAL MEDICAL
ACKROYD, DENA, PA 850 AQUIDNECK AVE MIDDLETOWN RI 02842 (800) 508‐4908 PA/PCP*
CICCHELLI, ROBERT, MD 850 AQUIDNECK AVE MIDDLETOWN RI 02842 (800) 508‐4908 INTERNAL MEDICINE
CUNNINGHAM, DAVID, MD 850 AQUIDNECK AVE MIDDLETOWN RI 02842 (800) 508‐4908 INTERNAL MEDICINE
HARBAR, OLGA, NP 850 AQUIDNECK AVE MIDDLETOWN RI 02842 (800) 508‐4908 NP/PCP*
KIRCHNER, ALEAH, PA 850 AQUIDNECK AVE MIDDLETOWN RI 02842 (800) 508‐4908 PA/PCP*
VALLEY PRIMARY CARE
DELGUERCIO, MARIANNE, NP 294 VALLEY RD MIDDLETOWN RI 02842 (401) 847‐7772 NP/PCP
DELGUERCIO, PAUL, MD 294 VALLEY RD MIDDLETOWN RI 02842 (401) 847‐7772 FAMILY PRACTICE
COASTAL MEDICAL
BRIONES, LEAH, MD 360 KINGSTOWN RD NARRAGANSETT RI 02882 (800) 508‐4908 FAMILY PRACTICE
GONZALEZ, EILEEN, MD 360 KINGSTOWN RD NARRAGANSETT RI 02882 (800) 508‐4908 FAMILY PRACTICE
GONZALEZ, MICHAEL J, MD 360 KINGSTOWN RD NARRAGANSETT RI 02882 (800) 508‐4908 FAMILY PRACTICE
KOSTRZEWA, DARIUSZ, MD 360 KINGSTOWN RD NARRAGANSETT RI 02882 (800) 508‐4908 FAMILY PRACTICE
KRISTINE CUNNIFF CUNNIFF, KRISTINE, DO 350 KINGSTOWN RD NARRAGANSETT RI 02882 (401) 782‐0700 INTERNAL MEDICINE
AQUIDNECK MEDICAL
ETTEFAGH, KEIVAN, MD 50 MEMORIAL BLVD NEWPORT RI 02840 (401) 847‐2290 PEDIATRICS
GEDNEY, JAMES, MD 50 MEMORIAL BLVD NEWPORT RI 02840 (401) 847‐2290 OBSTETRICS & GYNECOLOGY
SALM, JENNIFER, MD 50 MEMORIAL BLVD NEWPORT RI 02840 (401) 847‐2290 PEDIATRICS
ULLMAN, MARTHA, MD 50 MEMORIAL BLVD NEWPORT RI 02840 (401) 847‐2290 PEDIATRICS
EARP, RALPH, MD 50 MEMORIAL BLVD NEWPORT RI 02840 (401) 847‐2290 INTERNAL MEDICINE
FIELDING, KRISTIN, MD 50 MEMORIAL BLVD NEWPORT RI 02840 (401) 847‐2290 FAMILY PRACTICE
GORELICK, DAVID, MD 50 MEMORIAL BLVD NEWPORT RI 02840 (401) 847‐2290 INTERNAL MEDICINE
PARAMESWARAN, JAYANTHI, MD
50 MEMORIAL BLVD NEWPORT RI 02840 (401) 847‐2290 INTERNAL MEDICINE
SANDERS, HAROLD, MD 50 MEMORIAL BLVD NEWPORT RI 02840 (401) 847‐2290 INTERNAL MEDICINE
EAST BAY COMMUNITY ACTION
GONZALEZ, EILEEN, MD 19 BROADWAY NEWPORT RI 02840 (401) 848‐2160 FAMILY PRACTICE
GUTTMACHER, THOMAS, MD 19 BROADWAY NEWPORT RI 02840 (401) 848‐6697 FAMILY PRACTICE
WELLONE PIERCE, VIRGINIA, NP 308 CALLAHAN RD NORTH
KINGSTOWN RI 02852 (401) 295‐9706 NP/PCP
*Please note: Physician Assistants (PA) and Nurse Practitioners (NP) cannot be designated as your primary care physician.
PERSONAL CARE PHYSICIAN
November 2014 v8 - Page 8 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE PROVIDER ADDRESS CITY STATE ZIP PHONE SPECIALTY
WELLONE
TAFT, SUSAN, MD 308 CALLAHAN RD NORTH
KINGSTOWN RI 02852 (401) 295‐9706
FAMILY PRACTICE
VALI, ANDREA, MD 308 CALLAHAN RD NORTH
KINGSTOWN RI 02852 (401) 295‐9706 PEDIATRICS
NUGENT, SARA, MD 308 CALLAHAN RD NORTH
KINGSTOWN RI 02852 (401) 295‐9706
INTERNAL MEDICINE
COASTAL MEDICAL MORRISEAU, LYNN, NP 1075 SMITH ST NORTH
PROVIDENCE RI 02908 (800) 508‐4908 NP/PCP*
NRI MEDICAL SERVICES HUSSAIN, SYED, MD 63 EDDIE DOWLING HWY NORTH
SMITHFIELD RI 02896 (401) 762‐0210
INTERNAL MEDICINE
PRIMA CARE PC HUSSAIN, SYED, MD 65 EDDIE DOWLING HWY NORTH
SMITHFIELD RI 02896 (401) 769‐2222
INTERNAL MEDICINE
WELLONE
MARCOTTE, ANDREA, NP 36 BRIDGEWAY PASCOAG RI 02859 (401) 568‐7661 NP/PCP
BRUNELL, MICHAEL, PA 36 BRIDGEWAY PASCOAG RI 02859 (401) 568‐7661 PA/PCP
COCKERLINE, ELIZABETH, NP 36 BRIDGEWAY PASCOAG RI 02859 (401) 568‐7661 NP/PCP
EIBEL, LINDA, NP 36 BRIDGEWAY PASCOAG RI 02859 (401) 568‐7661 NP/PCP
GIOVETTI, MARY, MD 36 BRIDGEWAY PASCOAG RI 02859 (401) 567‐0800 FAMILY PRACTICE
HOKENESS, STEVEN, MD 36 BRIDGEWAY PASCOAG RI 02859 (401) 568‐7661 INTERNAL MEDICINE
KANTEH, MAMA, PA 36 BRIDGEWAY PASCOAG RI 02859 (401) 568‐7661 PA/PCP
MULLANEY, JOAN, NP 36 BRIDGEWAY PASCOAG RI 02859 (401) 568‐7661 NP/PCP
COPPOLA MEDICAL ASSOCIATES
COPPOLA, JOYCE, MD 174 ARMISTICE BLVD PAWTUCKET RI 02860 (401) 725‐3520 INTERNAL MEDICINE
LORD‐VOSHELL, PAMELA, NP 174 ARMISTICE BLVD PAWTUCKET RI 02860 (401) 725‐3520 NP/PCP
PIO, KATELYN, NP 174 ARMISTICE BLVD PAWTUCKET RI 02860 (401) 725‐3520 NP/PCP
COPPOLA MEDICAL ASSOCIATES
SHERMAN, MEREDITH, NP 174 ARMISTICE BLVD PAWTUCKET RI 02860 (401) 725‐3520 NP/PCP
FAMILY MEDICINE SPECIALISTS
CARTER, DAVID, MD 174 ARMISTICE BLVD PAWTUCKET RI 02860 (401) 723‐7578 FAMILY PRACTICE
NORTHEAST INTERNAL MEDICINE
IFTIKHAR, SADIA, MD 126 PROSPECT ST PAWTUCKET RI 02860 (401) 725‐8866 INTERNAL MEDICINE
WEN, JIAYING, MD 126 PROSPECT ST PAWTUCKET RI 02860 (401) 725‐8866 INTERNAL MEDICINE
PARK MEDICAL ASSOCIATES
CARTER, DAVID, MD 174 ARMISTICE BLVD PAWTUCKET RI 02860 (401) 275‐0700 FAMILY PRACTICE
UNIVERSITY MEDICINE DEXTER, CLARISSE, NP 407 EAST AVE PAWTUCKET RI 02860 (401) 728‐7270 NP/PCP
AWCRI/WOMENS CARE
CANCRO, CAROL, MD 407 EAST AVE PAWTUCKET RI 02860 (401) 727‐4800 FAMILY PRACTICE
SHALLCROSS, ERIN, NP 407 EAST AVE PAWTUCKET RI 02860 (401) 727‐4800 NP/PCP
HARRISON, EMILY, MD 407 EAST AVE PAWTUCKET RI 02860 (401) 727‐4800 FAMILY PRACTICE
BLACKSTONE VALLEY COMMUNITY HEALTH
BOWDEN, ROBERT, PA 39 EAST AVE PAWTUCKET RI 02860 (401) 729‐0080 PA/PCP
CULLION, DIAN, PA 39 EAST AVE PAWTUCKET RI 02860 (401) 729‐0080 PA/PCP
FUENTES, KARLA, MD 39 EAST AVE PAWTUCKET RI 02860 (401) 729‐0080 PEDIATRICS
MARTIN, CARLA, MD 39 EAST AVE PAWTUCKET RI 02860 (401) 722‐0080 INTERNAL MEDICINE
POLANCO, JOSE, MD 39 EAST AVE PAWTUCKET RI 02860 (401) 729‐0080 INTERNAL MEDICINE
PERSONAL CARE PHYSICIAN
*Please note: Physician Assistants (PA) and Nurse Practitioners (NP) cannot be designated as your primary care physician.
November 2014 v8 - Page 9 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE PROVIDER ADDRESS CITY STATE ZIP PHONE SPECIALTY
BLACKSTONE VALLEY COMMUNITY HEALTH
REYNA, ADRIANA, PA 39 EAST AVE PAWTUCKET RI 02860 (401) 722‐0081 PA/PCP
SHARMA, KUNJBALA, MD 39 EAST AVE PAWTUCKET RI 02860 (401) 729‐0080 FAMILY PRACTICE
THAPA, NEELAM, MD 39 EAST AVE PAWTUCKET RI 02860 (401) 729‐0080 PEDIATRICS
VALI, ANDREA, MD 39 EAST AVE PAWTUCKET RI 02860 (401) 729‐0080 PEDIATRICS
COASTAL MEDICAL
CAMPANILE, CHRISTOPHER, MD
727 EAST AVE PAWTUCKET RI 02860 (800) 508‐4908 FAMILY PRACTICE
JABLOW, BARBARA, MD 727 EAST AVE PAWTUCKET RI 02860 (800) 508‐4908 FAMILY PRACTICE
KENNEDY, CHRISTINE, MD 727 EAST AVE PAWTUCKET RI 02860 (800) 508‐4908 FAMILY PRACTICE
MITCHELL, CRISTINA, MD 727 EAST AVE PAWTUCKET RI 02860 (800) 508‐4908 FAMILY PRACTICE
SCHAFFRAN, KAREN, NP 727 EAST AVE PAWTUCKET RI 02860 (800) 508‐4908 NP/PCP*
SPERBER, KENNETH, MD 727 EAST AVE PAWTUCKET RI 02860 (800) 508‐4908 FAMILY PRACTICE
MEMORIAL HOSPITAL FAMILY CARE CENTER
ANANDARAJAH, GOWRI, MD 111 BREWSTER ST PAWTUCKET RI 02860 (401) 729‐2769 FAMILY PRACTICE
ANTHONY, DAVID, MD 111 BREWSTER ST PAWTUCKET RI 02860 (401) 729‐2769 FAMILY PRACTICE
ASHLEY, DAVID, MD 111 BREWSTER ST PAWTUCKET RI 02860 (401) 729‐2304 FAMILY PRACTICE
BORKAN, JEFFREY, MD 111 BREWSTER ST PAWTUCKET RI 02860 (401)729‐2769 FAMILY PRACTICE
CHANDRAN, RABIN, MD 111 BREWSTER ST PAWTUCKET RI 02860 (401) 729‐2304 FAMILY PRACTICE
DODD, KIMBERLY, MD 111 BREWSTER ST PAWTUCKET RI 02860 (401) 729‐3469 INTERNAL MEDICINE
MEMORIAL HOSPITAL FAMILY CARE CENTER
DUARTE, KRISTINA, MD 111 BREWSTER ST PAWTUCKET RI 02860 (401) 729‐3469 FAMILY PRACTICE
EATON, CHARLES, MD 111 BREWSTER ST PAWTUCKET RI 02860 (401) 729‐2769 FAMILY PRACTICE
EL RAYESS, FADYA, MD 111 BREWSTER ST PAWTUCKET RI 02860 (401) 729‐2206 FAMILY PRACTICE
GEORGE, PAUL, MD 111 BREWSTER ST PAWTUCKET RI 02860 (401) 729‐2304 FAMILY PRACTICE
MAGEE, SUSANNA, MD 111 BREWSTER ST PAWTUCKET RI 02860 (401) 729‐2206 FAMILY PRACTICE
RUBEOR, AMITY, DO 111 BREWSTER ST PAWTUCKET RI 02860 (401) 729‐2206 FAMILY PRACTICE
TAYLOR, JULIE, MD 111 BREWSTER ST PAWTUCKET RI 02860 (401) 729‐2206 FAMILY PRACTICE
TRYFOROS, MARGARET, MD 111 BREWSTER ST PAWTUCKET RI 02860 (401) 729‐2769 FAMILY PRACTICE
UNIVERSITY INTERNAL MEDICINE
BALERDI, M AURORA, MD 407 EAST AVE PAWTUCKET RI 02860 (401) 725‐4700 INTERNAL MEDICINE
ELLER, PETER, MD 407 EAST AVE PAWTUCKET RI 02860 (401) 725‐4700 INTERNAL MEDICINE
HERBERT, CHRISTINE, MD 407 EAST AVE PAWTUCKET RI 02860 (401) 725‐4700 INTERNAL MEDICINE
MARCOUX, DAVID, MD 407 EAST AVE PAWTUCKET RI 02860 (401) 725‐4700 INTERNAL MEDICINE
MEILA, FELICIA, MD 407 EAST AVE PAWTUCKET RI 02860 (401) 725‐4700 INTERNAL MEDICINE
ROBINSON, DERRICK, PA 407 EAST AVE PAWTUCKET RI 02860 (401) 725‐4700 PA/PCP
YERNENI, MADHAVI, MD 407 EAST AVE PAWTUCKET RI 02860 (401) 725‐4700 INTERNAL MEDICINE
PERSONAL CARE PHYSICIAN
*Please note: Physician Assistants (PA) and Nurse Practitioners (NP) cannot be designated as your primary care physician.
November 2014 v8 - Page 10 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE PROVIDER ADDRESS CITY STATE ZIP PHONE SPECIALTY
UNIVERSITY MEDICINE
DEFILLO DRAIBY, JULIO, MD 407 EAST AVE PAWTUCKET RI 02860 (401) 728‐7270 INTERNAL MEDICINE
HURLEY, MARIANNE, NP 407 EAST AVE PAWTUCKET RI 02860 (401) 728‐7270 NP/PCP
JAVIER, NOEL, MD 407 EAST AVE PAWTUCKET RI 02860 (401) 728‐7270 INTERNAL MEDICINE
MCNICOLL, LYNN, MD 407 EAST AVE PAWTUCKET RI 02860 (401) 728‐7270 INTERNAL MEDICINE
MUJAHID, NADIA, MD 407 EAST AVE PAWTUCKET RI 02860 (401) 728‐7270 FAMILY PRACTICE
MURPHY, JOHN, MD 407 EAST AVE PAWTUCKET RI 02860 (401) 728‐7270 FAMILY PRACTICE
NANDA, AMAN, MD 407 EAST AVE PAWTUCKET RI 02860 (401) 728‐7270 INTERNAL MEDICINE
SINGH, MRIGANKA, MD 407 EAST AVE PAWTUCKET RI 02860 (401) 728‐7270 INTERNAL MEDICINE
WELESKO, MARY BETH, NP 407 EAST AVE PAWTUCKET RI 02860 (401) 728‐7270 NP/PCP
AQUIDNECK MEDICAL ASSOCIATES
DIEROLF, CHRISTINA, MD 77 TURNPIKE AVE PORTSMOUTH RI 02871 (401) 847‐2290 PEDIATRICS
ELDERT, CASEY, MD 77 TURNPIKE AVE PORTSMOUTH RI 02871 (401) 847‐2290 PEDIATRICS
FIELDING, KRISTIN, MD 77 TURNPIKE AVE PORTSMOUTH RI 02871 (401) 847‐2290 FAMILY PRACTICE
KENNEY, LESLIE, NP 1075 SMITH ST PROVIDENCE RI 02908 (800) 508‐4908 NP/PCP*
RICKS, LYNN, NP 1075 SMITH ST PROVIDENCE RI 02908 (800) 508‐4908 NP/PCP*
SPELLUN, WENDY, NP 1075 SMITH ST PROVIDENCE RI 02908 (800) 508‐4908 NP/PCP*
COASTAL MEDICAL
TERLATO, JOSEPH, MD 1075 SMITH ST PROVIDENCE RI 02908 (800) 508‐4908 INTERNAL MEDICINE
BARNDS‐BROWN, JOSEPHINE, PA
78 BAKER ST PROVIDENCE RI 02905 (800) 508‐4908 PA/PCP*
BRIN, STEVEN, MD 78 BAKER ST PROVIDENCE RI 02905 (800) 508‐4908 INTERNAL MEDICINE
EMGUSHOV, RINCHEN‐TZO, MD
78 BAKER ST PROVIDENCE RI 02905 (800) 508‐4908 INTERNAL MEDICINE
GOLDFARB, AMY, MD 78 BAKER ST PROVIDENCE RI 02905 (800) 508‐4908 INTERNAL MEDICINE
HUGHES, PAULA, PA 78 BAKER ST PROVIDENCE RI 02905 (800) 508‐4908 PA/PCP*
REHMTULLA, MASOOMA, MD 78 BAKER ST PROVIDENCE RI 02905 (800) 508‐4908 INTERNAL MEDICINE
SAYEED, SYEDA, MD 78 BAKER ST PROVIDENCE RI 02905 (800) 508‐4908 INTERNAL MEDICINE
UNIVERSITY MEDICAL GROUP
ALLEN JR, GREGORY, DO 50 MAUDE ST PROVIDENCE RI 02908 (401) 456‐5300 INTERNAL MEDICINE
CHAMMAS AOUN, NADIA, MD
50 MAUDE ST PROVIDENCE RI 02908 (401) 456‐5300 INTERNAL MEDICINE
MCCORMACK, ELISE, MD 50 MAUDE ST PROVIDENCE RI 02908 (401) 456‐5300 INTERNAL MEDICINE
SHAH, PARUL, MD 50 MAUDE ST PROVIDENCE RI 02908 (401) 456‐5300 INTERNAL MEDICINE
ANCHOR MEDICAL
BUCKLEY, ELIZABETH, PA 1 HOPPIN ST PROVIDENCE RI 02903 (401) 793‐8400 PA/PCP
DORRIS, HEIDI, MD 1 HOPPIN ST PROVIDENCE RI 02903 (401) 793‐8400 INTERNAL MEDICINE
GODDARD, JOAN, MD 1 HOPPIN ST PROVIDENCE RI 02903 (401) 793‐8400 INTERNAL MEDICINE
MASON, WILLIAM, MD 1 HOPPIN ST PROVIDENCE RI 02903 (401) 793‐8400 INTERNAL MEDICINE
*Please note: Physician Assistants (PA) and Nurse Practitioners (NP) cannot be designated as your primary care physician.
PERSONAL CARE PHYSICIAN
November 2014 v8 - Page 11 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE PROVIDER ADDRESS CITY STATE ZIP PHONE SPECIALTY
ANCHOR MEDICAL
MATHIEU, ROBERT, MD 1 HOPPIN ST PROVIDENCE RI 02903 (401) 793‐8400 INTERNAL MEDICINE
OSTAPOW, ROBYN, PA 1 HOPPIN ST PROVIDENCE RI 02903 (401) 793‐8400 PA/PCP
SIEDLECKI, DIANE, MD 1 HOPPIN ST PROVIDENCE RI 02903 (401) 793‐8400 INTERNAL MEDICINE
TROISE, CAROLINE, MD 1 HOPPIN ST PROVIDENCE RI 02903 (401) 793‐8400 INTERNAL MEDICINE
UNIVERSITY MEDICINE
ACIDERA, ANNA, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 INTERNAL MEDICINE
ALCARAZ, ACHILLES ROMUAL, MD
111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 FAMILY PRACTICE
ANVAR, MICHELLE, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 INTERNAL MEDICINE
BABB, KIMBERLY, MD 111 PLAIN ST PROVIDENCE RI 02903 (401) 444‐3355 INTERNAL MEDICINE
BASILE JR, FRANCIS, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 INTERNAL MEDICINE
BLEDSOE, THOMAS, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 INTERNAL MEDICINE
BREIDING, PAUL, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 INTERNAL MEDICINE
CAZZANIGA, STEFANO, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 INTERNAL MEDICINE
CIOE, PATRICIA, NP 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐3355 NP/PCP
CYR, MICHELE, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐3355 INTERNAL MEDICINE
DEFILLO DRAIBY, JULIO, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 INTERNAL MEDICINE
DUFFY, CHRISTINE, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐3355 INTERNAL MEDICINE
EDMONDS, LAURA, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐3355 INTERNAL MEDICINE
FELDER, MICHAEL, DO 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 FAMILY PRACTICE
HEREC, DAVID, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 INTERNAL MEDICINE
JEREMIAH, JENNIFER, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 INTERNAL MEDICINE
JOHNSON, MICHAEL, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 INTERNAL MEDICINE
KOJIC, ERNA, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 INTERNAL MEDICINE
LICHT, WARREN, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 INTERNAL MEDICINE
MALLOZZI, STEVEN, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 INTERNAL MEDICINE
MAUDE, JENNIFER, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 INTERNAL MEDICINE
MCCONARTY, BRYNA, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 INTERNAL MEDICINE
MCGARRY, KELLY, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐3355 INTERNAL MEDICINE
MCNICOLL, LYNN, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 INTERNAL MEDICINE
MUJAHID, NADIA, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 FAMILY PRACTICE
MURPHY, JOHN, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 FAMILY PRACTICE
NANDA, AMAN, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 INTERNAL MEDICINE
PERSONAL CARE PHYSICIAN
November 2014 v8 - Page 12 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE PROVIDER ADDRESS CITY STATE ZIP PHONE SPECIALTY
UNIVERSITY MEDICINE
RODRIGUEZ, MARINA, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 INTERNAL MEDICINE
RYAN, JOHN, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 INTERNAL MEDICINE
SINGH, MRIGANKA, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 INTERNAL MEDICINE
STEIN, MICHAEL, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐3355 INTERNAL MEDICINE
STULIK, EDWARD, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 INTERNAL MEDICINE
SULLIVAN, JAMES, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 INTERNAL MEDICINE
TAMMARO, DOMINICK, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐3355 INTERNAL MEDICINE
TROMBLY, ALLISON, NP 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐1770 NP/PCP
WU, TONY, MD 111 PLAIN ST PROVIDENCE RI 2903 (401) 444‐3355 INTERNAL MEDICINE
BASILE JR, FRANCIS, MD 285 GOVERNOR ST PROVIDENCE RI 02906 (401) 228‐3490 INTERNAL MEDICINE
JOHNSON, MICHAEL, MD 285 GOVERNOR ST PROVIDENCE RI 02906 (401) 228‐3490 INTERNAL MEDICINE
MCCONARTY, BRYNA, MD 285 GOVERNOR ST PROVIDENCE RI 02906 (401) 228‐3490 INTERNAL MEDICINE
RODRIGUEZ, MARINA, MD 285 GOVERNOR ST PROVIDENCE RI 02906 (401) 228‐3480 INTERNAL MEDICINE
RYAN, JOHN, MD 285 GOVERNOR ST PROVIDENCE RI 02906 (401) 228‐3480 INTERNAL MEDICINE
WARREN, MARIANNE, NP 285 GOVERNOR ST PROVIDENCE RI 02906 (401) 228‐3480 NP/PCP
CARPENTER, CHARLES, MD 1125 N MAIN ST PROVIDENCE RI 02904 (401) 793‐2928 INTERNAL MEDICINE
CU‐UVIN, SUSAN, MD 1125 N MAIN ST PROVIDENCE RI 02904 (401) 793‐2928 INTERNAL MEDICINE
FLANIGAN, TIMOTHY, MD 1125 N MAIN ST PROVIDENCE RI 02904 (401) 793‐2928 INTERNAL MEDICINE
GARDNER, ADRIAN, MD 1125 N MAIN ST PROVIDENCE RI 02904 (401) 793‐2928 INTERNAL MEDICINE
HARDY, ERICA, MD 1125 N MAIN ST PROVIDENCE RI 02904 (401) 793‐2928 INTERNAL MEDICINE
KANTOR, RAMI, MD 1125 N MAIN ST PROVIDENCE RI 02904 (401) 793‐2928 INTERNAL MEDICINE
KOJIC, ERNA, MD 1125 N MAIN ST PROVIDENCE RI 02904 (401) 793‐2928 INTERNAL MEDICINE
KWARA, AWEWURA, MD 1125 N MAIN ST PROVIDENCE RI 02904 (401) 793‐2928 INTERNAL MEDICINE
LALLY, MICHELLE, MD 1125 N MAIN ST PROVIDENCE RI 02904 (401) 793‐2928 INTERNAL MEDICINE
MILENO, MARIA, MD 1125 N MAIN ST PROVIDENCE RI 02904 (401) 793‐2928 INTERNAL MEDICINE
RANA, AADIA, MD 1125 N MAIN ST PROVIDENCE RI 02904 (401) 793‐2928 INTERNAL MEDICINE
RICH, JOSIAH, MD 1125 N MAIN ST PROVIDENCE RI 02904 (401) 793‐2928 INTERNAL MEDICINE
TASHIMA, KAREN, MD 1125 N MAIN ST PROVIDENCE RI 02904 (401) 793‐2928 INTERNAL MEDICINE
WING, EDWARD, MD 1125 N MAIN ST PROVIDENCE RI 02904 (401) 793‐2928 INTERNAL MEDICINE
BREIDING, PAUL, MD 909 N MAIN ST PROVIDENCE RI 02904 (401) 273‐4064 INTERNAL MEDICINE
LICHT, WARREN, MD 909 N MAIN ST PROVIDENCE RI 02904 (401) 273‐4064 INTERNAL MEDICINE
PERSONAL CARE PHYSICIAN
November 2014 v8 - Page 13 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE PROVIDER ADDRESS CITY STATE ZIP PHONE SPECIALTY
UNIVERSITY MEDICINE
MALLOZZI, STEVEN, MD 909 N MAIN ST PROVIDENCE RI 02904 (401) 273‐4064 INTERNAL MEDICINE
MAUDE, JENNIFER, MD 909 N MAIN ST PROVIDENCE RI 02904 (401) 273‐4064 INTERNAL MEDICINE
SULLIVAN, JAMES, MD 909 N MAIN ST PROVIDENCE RI 02904 (401) 273‐4064 INTERNAL MEDICINE
EAST BAY COMMUNITY ACTION
FESSLER, SARAH, MD 100 BULLOCKS PT AVE RIVERSIDE RI 02915 (401) 437‐1008 FAMILY PRACTICE
HAMILTON, TERESITA, MD 100 BULLOCKS PT AVE RIVERSIDE RI 02915 (401) 437‐1008 FAMILY PRACTICE
MINASIAN, DIANE, MD 100 BULLOCKS PT AVE RIVERSIDE RI 02915 (401) 437‐1008 FAMILY PRACTICE
RYVKIN, INNA, MD 100 BULLOCKS PT AVE RIVERSIDE RI 02915 (401) 437‐1008 FAMILY PRACTICE
SCHNEIDER, HEIDI, MD 100 BULLOCKS PT AVE RIVERSIDE RI 02915 (401) 437‐1008 FAMILY PRACTICE
ZELLER, KIMBERLY, MD 100 BULLOCKS PT AVE RIVERSIDE RI 02915 (401) 437‐1008 FAMILY PRACTICE
UNIVERSITY MEDICINE
ACIDERA, ANNA, MD 1275 WAMPANOAG TRL RIVERSIDE RI 02915 (401) 433‐9880 INTERNAL MEDICINE
CAZZANIGA, STEFANO, MD 1275 WAMPANOAG TRL RIVERSIDE RI 02915 (401) 433‐9880 INTERNAL MEDICINE
STULIK, EDWARD, MD 1275 WAMPANOAG TRL RIVERSIDE RI 02915 (401) 433‐9880 INTERNAL MEDICINE
DANIEL HOCHBERGER HOCHBERGER, DANIEL, MD 400 PAWTUCKET AVE RUMFORD RI 02916 (401) 431‐6224 INTERNAL MEDICINE
CORSI & FRAIOLI
CORSI, JOHN, DO 28 CEDAR SWAMP RD SMITHFIELD RI 02917 (401) 232‐3688 FAMILY PRACTICE
FRAIOLI JR, FRANK, DO 28 CEDAR SWAMP RD SMITHFIELD RI 02917 (401) 232‐3688 FAMILY PRACTICE
COASTAL MEDICAL
BANSAL, RAJNISH, MD 41 SANDERSON RD SMITHFIELD RI 02917 (800) 508‐4908 INTERNAL MEDICINE
DE LEON, LAUREN, MD 41 SANDERSON RD SMITHFIELD RI 02917 (800) 508‐4908 INTERNAL MEDICINE
GAINES, JOHN, MD 41 SANDERSON RD SMITHFIELD RI 02917 (800) 508‐4908 INTERNAL MEDICINE
GREENIER, VANESSA, MD 41 SANDERSON RD SMITHFIELD RI 02917 (800) 508‐4908 INTERNAL MEDICINE
HANS, NIDHI, MD 41 SANDERSON RD SMITHFIELD RI 02917 (800) 508‐4908 INTERNAL MEDICINE
POTHIER, WANDA, NP 41 SANDERSON RD SMITHFIELD RI 02917 (800) 508‐4908 NP/PCP*
RYTER, RICHARD, MD 41 SANDERSON RD SMITHFIELD RI 02917 (800) 508‐4908 INTERNAL MEDICINE
TURNER, LISA, NP 41 SANDERSON RD SMITHFIELD RI 02917 (800) 508‐4908 NP/PCP*
CORCORAN, CELESTE, MD 70 KENYON AVE WAKEFIELD RI 02879 (800) 508‐4908 PEDIATRICS
LANE, COURTNEY, MD 70 KENYON AVE WAKEFIELD RI 02879 (800) 508‐4908 PEDIATRICS
MALTZ, ROBERT, MD 70 KENYON AVE WAKEFIELD RI 02879 (800) 508‐4908 PEDIATRICS
MCGEE‐COGHLIN, BARBARA, MD
70 KENYON AVE WAKEFIELD RI 02879 (800) 508‐4908 PEDIATRICS
MURRAY, MARY, MD 70 KENYON AVE WAKEFIELD RI 02879 (800) 508‐4908 PEDIATRICS
ZIEGLER, JOY, MD 70 KENYON AVE WAKEFIELD RI 02879 (800) 508‐4908 PEDIATRICS
BERROL, AMY, PA 70 KENYON AVE WAKEFIELD RI 02879 (800) 508‐4908 PA/PCP*
CORCORAN, J RUSSELL, MD 70 KENYON AVE WAKEFIELD RI 02879 (800) 508‐4908 INTERNAL MEDICINE
PERSONAL CARE PHYSICIAN
*Please note: Physician Assistants (PA) and Nurse Practitioners (NP) cannot be designated as your primary care physician.
November 2014 v8 - Page 14 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE PROVIDER ADDRESS CITY STATE ZIP PHONE SPECIALTY
COASTAL MEDICAL
JOHNSON, SHELLY, MD 70 KENYON AVE WAKEFIELD RI 02879 (800) 508‐4908 INTERNAL MEDICINE
SLADE, WILLIAM, DO 70 KENYON AVE WAKEFIELD RI 02879 (800) 508‐4908 FAMILY PRACTICE
SOUTH COUNTY INTERNAL MEDICINE
BARRATT, PAUL, MD 481 KINGSTOWN RD WAKEFIELD RI 02879 (401) 789‐0283 INTERNAL MEDICINE
DAMLE, NITIN, MD 481 KINGSTOWN RD WAKEFIELD RI 02879 (401) 789‐0283 INTERNAL MEDICINE
D'SOUZA, RIKHI, DO 481 KINGSTOWN RD WAKEFIELD RI 02879 (401) 789‐0283 INTERNAL MEDICINE
HORRIGAN, LETITIA, DO 481 KINGSTOWN RD WAKEFIELD RI 02879 (401) 782‐0429 INTERNAL MEDICINE
O'MARA, TIMOTHY, MD 481 KINGSTOWN RD WAKEFIELD RI 02879 (401) 789‐0283 INTERNAL MEDICINE
POULIOT, MONIQUE, DO 481 KINGSTOWN RD WAKEFIELD RI 02879 (401) 789‐0283 INTERNAL MEDICINE
SKRAJEWSKI, DEBRA, NP 481 KINGSTOWN RD WAKEFIELD RI 02879 (401) 789‐0283 NP/PCP
THUNDERMIST HEALTH CENTER
BENNETT, MAEVE, NP 1 RIVER ST WAKEFIELD RI 02879 (401) 783‐0523 NP/PCP
BUCHANAN, ANNE, NP 1 RIVER ST WAKEFIELD RI 02879 (401) 783‐0523 NP/PCP
CURTICE, WALTER, MD 1 RIVER ST WAKEFIELD RI 02879 (401) 783‐0523 FAMILY PRACTICE
GENADER, BEVERLY, NP 1 RIVER ST WAKEFIELD RI 02879 (401) 783‐0523 NP/PCP
GLENN, HEATHER, NP 1 RIVER ST WAKEFIELD RI 02879 (401) 783‐0523 NP/PCP
ROTH, STEVEN, MD 1 RIVER ST WAKEFIELD RI 02879 (401) 783‐0523 FAMILY PRACTICE
SWIM, PATRICIA, NP 1 RIVER ST WAKEFIELD RI 02879 (401) 783‐0523 NP/PCP
METACOM MEDICAL ASSOCIATES
AMALFITANO JR, FRANK, MD 639 METACOM AVE WARREN RI 02885 (401) 245‐1500 INTERNAL MEDICINE
MARCACCIO, PAUL, MD 639 METACOM AVE WARREN RI 02885 (401) 245‐1500 INTERNAL MEDICINE
ZIBRIDA, JOSEPH, MD 639 METACOM AVE WARREN RI 02885 (401) 245‐1500 INTERNAL MEDICINE
WARREN PRACTICE ASSOCIATES
ALBERT, ROBYN, PA 851 MAIN ST WARREN RI 02885 (401) 247‐1000 PA/PCP
EDWARDS, JULIE, PA 851 MAIN ST WARREN RI 02885 (401) 247‐1000 PA/PCP
LEIBOWITZ, DAVID, DO 851 MAIN ST WARREN RI 02885 (401) 247‐1000 FAMILY PRACTICE
COASTAL MEDICAL
DAWSON, LAURA, MD 176 TOLLGATE RD WARWICK RI 02886 (800) 508‐4908 PEDIATRICS
HUNT, DAVID, DO 176 TOLLGATE RD WARWICK RI 02886 (800) 508‐4908 PEDIATRICS
MENNILLO, ROGER, MD 176 TOLLGATE RD WARWICK RI 02886 (800) 508‐4908 PEDIATRICS
MULLINS, JESSICA, NP 176 TOLLGATE RD WARWICK RI 02886 (800) 508‐4908 NP/PCP*
ZARLENGO, RAYMOND, MD 176 TOLLGATE RD WARWICK RI 02886 (800) 508‐4908 PEDIATRICS
CASTREE, KATHERINE, MD 315 COMMONWEALTH AVE WARWICK RI 02886 (800) 508‐4908 PEDIATRICS
CLYNE, AILIS, MD 315 COMMONWEALTH AVE WARWICK RI 02886 (800) 508‐4908 PEDIATRICS
CREAMER, CLAIRE, NP 315 COMMONWEALTH AVE WARWICK RI 02886 (800) 508‐4908 NP/PCP*
LENGYEL, CAROLE, MD 315 COMMONWEALTH AVE WARWICK RI 02886 (800) 508‐4908 PEDIATRICS
PERSONAL CARE PHYSICIAN
*Please note: Physician Assistants (PA) and Nurse Practitioners (NP) cannot be designated as your primary care physician.
November 2014 v8 - Page 15 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE PROVIDER ADDRESS CITY STATE ZIP PHONE SPECIALTY
COASTAL MEDICAL MINTZ, HOWARD, MD 315 COMMONWEALTH AVE WARWICK RI 02886 (800) 508‐4908 PEDIATRICS
NASIN, MARJORIE, MD 315 COMMONWEALTH AVE WARWICK RI 02886 (800) 508‐4908 PEDIATRICS
PILGRIM PARK MEDICAL ASSOCIATES
GRANDE, JOSEPH, DO 1243 POST RD WARWICK RI 02888 (401) 941‐2999 FAMILY PRACTICE
LOWNEY, JOANNE, NP 1243 POST RD WARWICK RI 02888 (401) 941‐2999 NP/PCP
SUNIL P VERMA VERMA, SUNIL, MD 176 TOLLGATE RD WARWICK RI 02886 (401) 732‐1700 INTERNAL MEDICINE
USHA STOKOE STOKOE, USHA, MD 200 TOLLGATE RD WARWICK RI 02886 (401) 732‐8081 FAMILY PRACTICE
ANCHOR MEDICAL
CHLIWNER, IRENE, MD 400 BALD HILL RD WARWICK RI 02886 (401) 793‐8520 INTERNAL MEDICINE
ELLISON, ROBERT, MD 400 BALD HILL RD WARWICK RI 02886 (401) 793‐8520 INTERNAL MEDICINE
GRUMBACH, NICHOLAS, MD 400 BALD HILL RD WARWICK RI 02886 (401) 793‐8520 INTERNAL MEDICINE
HARDY, GEORGE, MD 400 BALD HILL RD WARWICK RI 02886 (401) 793‐8520 INTERNAL MEDICINE
KOCHANSKI, JOHN, PA 400 BALD HILL RD WARWICK RI 02886 (401) 793‐8520 PA/PCP
LYSTER, MARY, MD 400 BALD HILL RD WARWICK RI 02886 (401) 793‐8520 FAMILY PRACTICE
OEHLER, GREGG, PA 400 BALD HILL RD WARWICK RI 02886 (401) 793‐8520 PA/PCP
ROBBINS, LOREEN, NP 400 BALD HILL RD WARWICK RI 02886 (401) 793‐8520 NURSE PRACTITIONER
ASSOCIATES IN PRIMARY CARE
GRANDE, KAREN, MD 857 POST RD WARWICK RI 02888 (401) 467‐3115 INTERNAL MEDICINE
ASSOCIATES IN PRIMARY CARE
KERZER, MARTIN, DO 857 POST RD WARWICK RI 02888 (401) 467‐3115 FAMILY PRACTICE
ROUSSEAU, JULIE, NP 857 POST RD WARWICK RI 02888 (401) 467‐3115 NP/PCP
STEINMETZ, GREGORY, MD 857 POST RD WARWICK RI 02888 (401) 467‐3115 FAMILY PRACTICE
WAITT, GINA M, NP 857 POST RD WARWICK RI 02888 (401) 467‐3115 NP/PCP
UNIVERSITY MEDICINE
ALCARAZ, ACHILLES ROMUAL, MD
1035 POST RD WARWICK RI 02888 (401) 941‐2830 FAMILY PRACTICE
FELDER, MICHAEL, DO 1035 POST RD WARWICK RI 02888 (401) 941‐2830 FAMILY PRACTICE
TROMBLY, ALLISON, NP 1035 POST RD WARWICK RI 02888 (401) 941‐2830 NP/PCP
THUNDERMIST HEALTH CENTER
SOLAWON, ADEDAMOLA, NP 186 PROVIDENCE ST WEST WARWICK RI 02893 (401) 615‐2800 NP/PCP
DELAPORTA, SARA, MD 186 PROVIDENCE ST WEST WARWICK RI 02893 (401) 615‐2800 FAMILY PRACTICE
DOUGLAS, JESSICA, NP 186 PROVIDENCE ST WEST WARWICK RI 02893 (401) 615‐2800 NURSE PRACTITIONER
FILIP, ANNA, MD 186 PROVIDENCE ST WEST WARWICK RI 02893 (401) 615‐2800 FAMILY PRACTICE
HANG, NHU, MD 186 PROVIDENCE ST WEST WARWICK RI 02893 (401) 615‐2800 FAMILY PRACTICE
KAO, PATRICIA, MD 186 PROVIDENCE ST WEST WARWICK RI 02893 (401) 615‐2800 PEDIATRICS
LAU, DIANA, NP 186 PROVIDENCE ST WEST WARWICK RI 02893 (401) 615‐2800 NP/PCP
LEVISS, JONATHAN, MD 186 PROVIDENCE ST WEST WARWICK RI 02893 (401) 615‐2800 INTERNAL MEDICINE
MARTINO, PATRICIA, NP 186 PROVIDENCE ST WEST WARWICK RI 02893 (401) 615‐2800 NP/PCP
PERSONAL CARE PHYSICIAN
November 2014 v8 - Page 16 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE PROVIDER ADDRESS CITY STATE ZIP PHONE SPECIALTY
THUNDERMIST HEALTH CENTER
POSHKUS, MICHAEL, MD 186 PROVIDENCE ST WEST WARWICK RI 02893 (401) 615‐2800
INTERNAL MEDICINE
RODRIGUEZ, FARIDAH TANYA, MD
186 PROVIDENCE ST WEST WARWICK RI 02893 (401) 615‐2800 FAMILY PRACTICE
SKRAJEWSKI, DEBRA, NP 186 PROVIDENCE ST WEST WARWICK RI 02893 (401) 615‐2800 NP/PCP
STELLO, JANINE, NP 186 PROVIDENCE ST WEST WARWICK RI 02893 (401) 615‐2800 NURSE PRACTITIONER
HOPGOOD, JENNIFER, NP 186 PROVIDENCE ST WEST WARWICK RI 02893 (401) 615‐2800 NP/PCP
PARKER, KATHLEEN, NP 186 PROVIDENCE ST WEST WARWICK RI 02893 (401) 615‐2800 NP/PCP
COASTAL MEDICAL
CORCORAN, CELESTE, MD 320 PHILLIPS ST WICKFORD RI 02852 (800) 508‐4908 PEDIATRICS
LANE, COURTNEY, MD 320 PHILLIPS ST WICKFORD RI 02852 (800) 508‐4908 PEDIATRICS
MALTZ, ROBERT, MD 320 PHILLIPS ST WICKFORD RI 02852 (800) 508‐4908 PEDIATRICS
MCGEE‐COGHLIN, BARBARA, MD
320 PHILLIPS ST WICKFORD RI 02852 (800) 508‐4908 PEDIATRICS
MURRAY, MARY, MD 320 PHILLIPS ST WICKFORD RI 02852 (800) 508‐4908 PEDIATRICS
ZIEGLER, JOY, MD 320 PHILLIPS ST WICKFORD RI 02852 (800) 508‐4908 PEDIATRICS
B V CENTER FOR INTERNAL MEDICINE
YEARWOOD, GREIGSTONE, MD
191 SOCIAL ST WOONSOCKET RI 02895 (401) 762‐2535 INTERNAL MEDICINE
RHODE ISLAND MEDICINE
AHMAD, IRFAN, MD 20 CUMBERLAND HILL RD WOONSOCKET RI 02895 (401) 765‐4100 INTERNAL MEDICINE
RAMIREZ, BASILIA, MD 20 CUMBERLAND HILL RD WOONSOCKET RI 02895 (401) 766‐7785 INTERNAL MEDICINE
THUNDERMIST HEALTH CENTER
BERARD, ERIC, DO 450 CLINTON ST WOONSOCKET RI 02895 (401) 767‐4100 PEDIATRICS
BOURASSA, DAVID, MD 450 CLINTON ST WOONSOCKET RI 02895 (401) 767‐4100 PEDIATRICS
JAFFE, CHRISTINE, NP 450 CLINTON ST WOONSOCKET RI 02895 (401) 767‐4100 NP/PCP
KORNEEVA, MARINA, MD 450 CLINTON ST WOONSOCKET RI 02895 (401) 767‐4100 PEDIATRICS
NELKEN, BEATA, MD 450 CLINTON ST WOONSOCKET RI 02895 (401) 767‐4100 PEDIATRICS
ZERDELIAN, LISA, NP 450 CLINTON ST WOONSOCKET RI 02895 (401) 767‐4100 NP/PCP
AMECK, PETER, NP 450 CLINTON ST WOONSOCKET RI 02895 (401) 767‐4100 NP/PCP
BERMAN, LINDA, MD 450 CLINTON ST WOONSOCKET RI 02895 (401) 767‐4100 FAMILY PRACTICE
CASTRO, NANCY, NP 450 CLINTON ST WOONSOCKET RI 02895 (401) 767‐4100 NP/PCP
CHOWDHRY, SAPNA, MD 450 CLINTON ST WOONSOCKET RI 02895 (401) 767‐4100 INTERNAL MEDICINE
FOWLKES, VANESSA, NP 450 CLINTON ST WOONSOCKET RI 02895 (401) 767‐4100 NP/PCP
HOPGOOD, JENNIFER, NP 450 CLINTON ST WOONSOCKET RI 02895 (401) 767‐4100 NP/PCP
MARANDOLA, JEAN, NP 450 CLINTON ST WOONSOCKET RI 02895 (401) 767‐4100 NP/PCP
POLLAK, EDGAR, MD 450 CLINTON ST WOONSOCKET RI 02895 (401) 767‐4100 INTERNAL MEDICINE
ROBBIO, ROBERT, MD 450 CLINTON ST WOONSOCKET RI 02895 (401) 767‐4100 FAMILY PRACTICE
SEBALLOS, BENILDA, MD 450 CLINTON ST WOONSOCKET RI 02895 (401) 767‐4100 FAMILY PRACTICE
PERSONAL CARE PHYSICIAN
November 2014 v8 - Page 17 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE PROVIDER ADDRESS CITY STATE ZIP PHONE SPECIALTY
THUNDERMIST HEALTH CENTER
WELCH TRAYNER, HEIDI, NP 450 CLINTON ST WOONSOCKET RI 02895 (401) 767‐4100 NP/PCP
LINCOLN PEDIATRIC ASSOCIATES
HINES, THOMAS, MD 465 S WASHINGTON ST NORTH
ATTLEBORO MA 02760 (508) 699‐8444 PEDIATRICS
MARANZANO, ELIZABETH, MD
465 S WASHINGTON ST NORTH
ATTLEBORO MA 02760 (508) 699‐8444 PEDIATRICS
SOWA, MARTA, MD 465 S WASHINGTON ST NORTH
ATTLEBORO MA 02760 (508) 699‐8444 PEDIATRICS
TEIXEIRA, RICHARD, MD 465 S WASHINGTON ST NORTH
ATTLEBORO MA 02760 (508) 699‐8444 PEDIATRICS
SPECIALIST
Includes all specialists that contract directly with BCBSRI.
PERSONAL CARE PHYSICIAN
November 2014 v8 - Page 18 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
HOSPITAL INPATIENT FACILITIES
PRACTICE SITE ADDRESS CITY STATE ZIP PHONE
ELEANOR SLATER HOSPITAL 111 HOWARD AVE CRANSTON RI 02920 (401) 462‐1802
EMMA PENDLETON BRADLEY HOSPITAL
1011 VETERANS MEMORIALPKWY
EAST PROVIDENCE RI 02915 (401) 432‐1100
NAVAL HEALTH CLINIC NE 1 RIGGS RD NEWPORT RI 02841 (401) 841‐3771
NEWPORT HOSPITAL 11 FRIENDSHIP ST NEWPORT RI 02840 (401) 846‐6400
MEMORIAL HOSPITAL OF RI 111 BREWSTER ST PAWTUCKET RI 02860 (401) 729‐2000
BUTLER HOSPITAL 345 BLACKSTONE BLVD PROVIDENCE RI 02906 (401) 455‐6200
HASBRO CHILDREN’S HOSPITAL 593 EDDY ST PROVIDENCE RI 02903 (401) 444‐4000
RHODE ISLAND HOSPITAL 593 EDDY ST PROVIDENCE RI 02903 (401) 444‐4000
ROGER WILLIAMS MEDICAL CENTER 825 CHALKSTONE AVE PROVIDENCE RI 02908 (401) 456‐2000
ST JOSEPH HEALTH SERVICES OF RI 200 HIGH SERVICE AVE PROVIDENCE RI 02904 (401) 456‐3000
THE MIRIAM HOSPITAL 164 SUMMIT AVE PROVIDENCE RI 02906 (401) 793‐2500
WOMEN & INFANTS HOSPITAL 101 DUDLEY ST PROVIDENCE RI 02905 (401) 274‐1100
SOUTH COUNTY HOSPITAL 100 KENYON AVE WAKEFIELD RI 02879 (401) 782‐8000
KENT COUNTY HOSPITAL 455 TOLLGATE RD WARWICK RI 02886 (401) 737‐7000
WESTERLY HOSPITAL 25 WELLS ST WESTERLY RI 02891 (401) 596‐6000
LANDMARK MEDICAL CENTER 115 CASS AVE WOONSOCKET RI 02985 (401) 769‐4100
STURDY MEMORIAL HOSPITAL 211 PARK ST ATTLEBORO MA 02703 (508) 222‐5200
CHARLTON MEMORIAL HOSPITAL 363 HIGHLAND AVE FALL RIVER MA 02720 (508) 679‐3131
ST LUKE’S HOSPITAL 101 PAGE ST NEW BEDFORD MA 02740 (508) 961‐5006
UHS OF FULLER INC 200 MAY ST SOUTH ATTLEBORO MA 02703 (508) 761‐8500
Tier 1 Hospitals may take a Tier 2 copayment for some services. Please refer to your benefits on BCBSRI.com for more details. i
i
November 2014 v8 - Page 19 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
LABORATORY FACILITIES PRACTICE SITE ADDRESS CITY STATE ZIP PHONE
EAST SIDE CLINICAL LAB 286 MAPLE AVE BARRINGTON RI 02806 (401) 247‐2683
EAST SIDE CLINICAL LAB 1180 HOPE ST BRISTOL RI 02809 (401) 254‐1015
EAST SIDE CLINICAL LAB 1002 BROAD ST CENTRAL FALLS RI 02863 (401) 728‐1970
EAST SIDE CLINICAL LAB 71 SANDY BOTTOM RD COVENTRY RI 02816 (401) 826‐7134
COASTAL MED LABORATORY 75 SOCKANNOSSETCROSSROADS
CRANSTON RI 02920 (401) 275‐1981
EAST SIDE CLINICAL LAB 106 ROLFE SQ CRANSTON RI 02910 (401) 467‐0088
EAST SIDE CLINICAL LAB 1150 RESERVOIR AVE CRANSTON RI 02910 (401) 946‐2240
EAST SIDE CLINICAL LAB 1500 PONTIAC AVE CRANSTON RI 02920 (401) 463‐3743
EAST SIDE CLINICAL LAB 75 SOCKANOSSETTCROSSROADS
CRANSTON RI 02910 (401) 946‐8856
QUEST DIAGNOSTICS INC 1145 RESERVOIR AVE CRANSTON RI 02920 (401) 946‐8244
EAST SIDE CLINICAL LAB 175 NATE WHIPPLE HWY CUMBERLAND RI 02864 (401) 658‐3290
COASTAL MED LABORATORY 1351 SOUTH COUNTY TRAIL EAST GREENWICH RI 02818 (401) 884‐0739
COASTAL MED LABORATORY 1401 SOUTH COUNTY TRAIL EAST GREENWICH RI 02818 (401) 884‐2347
EAST SIDE CLINICAL LAB 1377 SOUTH COUNTY TRAIL EAST GREENWICH RI 02818 (401) 885‐3362
EAST SIDE CLINICAL LAB 5555 POST RD EAST GREENWICH RI 02818 (401) 884‐8473
COASTAL MED LABORATORY 900 WARREN AVE EAST PROVIDENCE RI 02914 (401) 331‐4376
COASTAL MED LABORATORY 450 VETERANS MEML PKWY EAST PROVIDENCE RI 02914 (401) 435‐9595
COASTAL MED LABORATORY 1445 WAMPANOAG TRL EAST PROVIDENCE RI 02914 (401) 421‐5434
EAST SIDE CLINICAL LAB 250 WAMPANOAG TRL EAST PROVIDENCE RI 02915 (401) 431‐2200
EAST SIDE CLINICAL LAB 450 VETS MEM PKWY EAST PROVIDENCE RI 02914 (401)434‐9476
EAST SIDE CLINICAL LAB 450 VETS MEM PKWY EAST PROVIDENCE RI 02914 (401) 438‐5988
EAST SIDE CLINICAL LAB 450 VETS MEM PKWY EAST PROVIDENCE RI 02914 (401) 435‐3980
EAST SIDE CLINICAL LAB 600 PUTNAM PK GREENVILLE RI 02828 (401) 949‐5680
EAST SIDE CLINICAL LAB 1524 ATWOOD AVE JOHNSTON RI 02919 (401) 274‐6815
EAST SIDE CLINICAL LAB 1539 ATWOOD AVE JOHNSTON RI 02919 (401) 861‐2228
QUEST DIAGNOSTICS INC 1524 ATWOOD AVE JOHNSTON RI 02919 (401) 521‐0232
COASTAL MED LABORATORY 6 BLACKSTONE VALLEY PL LINCOLN RI 02865 (401) 334‐1222
EAST SIDE CLINICAL LAB 3 WAKE ROBIN RD LINCOLN RI 02865 (401) 333‐1958
EAST SIDE CLINICAL LAB 132 OLD RIVER RD LINCOLN RI 02865 (401) 333‐3145
COASTAL MED LABORATORY 850 AQUIDNECK AVE MIDDLETOWN RI 02842 (401) 847‐3971
November 2014 v8 - Page 20 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE ADDRESS CITY STATE ZIP PHONE
EAST SIDE CLINICAL LAB 700 AQUIDNECK AVE MIDDLETOWN RI 02842 (401) 846‐4104
EAST SIDE CLINICAL LAB 350 KINGSTOWN RD NARRAGANSETT RI 02882 (401) 788‐0768
EAST SIDE CLINICAL LAB 1515 SMITH ST NORTHPROVIDENCE
RI 02911 (401) 353‐4013
QUEST DIAGNOSTICS INC 1352 SMITH ST NORTHPROVIDENCE
RI 02911 (401) 353‐8370
EAST SIDE CLINICAL LAB 33 DANIELSON PIKE NORTH SCITUATE RI 02857 (401) 647‐4627
EAST SIDE CLINICAL LAB 63 EDDY DOWLING HWY NORTH SMITHFIELD RI 02896 (401) 769‐3232
COASTAL MED LABORATORY 541 NEWPORT AVE PAWTUCKET RI 02860 (401) 727‐8695
EAST SIDE CLINICAL LAB 126 PROSPECT ST PAWTUCKET RI 02860 (401) 726‐5996
EAST SIDE CLINICAL LAB 727 EAST AVE PAWTUCKET RI 02860 (401) 725‐3697
QUEST DIAGNOSTICS INC 333 SCHOOL ST PAWTUCKET RI 02860 (401) 724‐2970
QUEST DIAGNOSTICS INC 407 EAST AVE PAWTUCKET RI 02860 (401) 727‐1031
COASTAL MED LABORATORY 272 WEST EXCHANGE ST PROVIDENCE RI 02903 (401) 421‐5434
COASTAL MED LABORATORY 78 BAKER ST PROVIDENCE RI 02905 (401) 461‐0732
COASTAL MED LABORATORY 1075 SMITH ST PROVIDENCE RI 02905 (401) 861‐8180
EAST SIDE CLINICAL LAB 1076 N MAIN ST PROVIDENCE RI 02904 (401) 351‐4189
EAST SIDE CLINICAL LAB 120 DUDLEY ST PROVIDENCE RI 02905 (401) 455‐8460
EAST SIDE CLINICAL LAB 154 WATERMAN ST PROVIDENCE RI 02906 (401) 455‐8420
EAST SIDE CLINICAL LAB 909 N MAIN ST PROVIDENCE RI 02904 (401) 521‐1768
QUEST DIAGNOSTICS INC 1 RANDALL SQ PROVIDENCE RI 02904 (401) 456‐0545
EAST SIDE CLINICAL LAB 217 WILLETT AVE RIVERSIDE RI 02915 (401) 433‐8370
COASTAL MED LABORATORY 41 SANDERSON RD SMITHFIELD RI 02917 (401) 349‐3984
EAST SIDE CLINICAL LAB 24 SALT POND RD SOUTH KINGSTOWN RI 02879 (401) 788‐0645
EAST SIDE CLINICAL LAB 821 MAIN RD TIVERTON RI 02878 (401) 624‐7066
COASTAL MED LABORATORY 70 KENYON AVE WAKEFIELD RI 02878 (401) 515‐0109
QUEST DIAGNOSTICS INC 730 KINGSTOWN RD WAKEFIELD RI 02879 (401) 782‐6180
EAST SIDE CLINICAL LAB 821 MAIN ST WARREN RI 02885 (401) 247‐2494
EAST SIDE CLINICAL LAB 1050 WARWICK AVE WARWICK RI 02886 (401) 781‐5429
EAST SIDE CLINICAL LAB 1429 WARWICK AVE WARWICK RI 02886 (401) 463‐5670
EAST SIDE CLINICAL LAB 176 TOLLGTE RD WARWICK RI 02886 (401) 732‐3126
EAST SIDE CLINICAL LAB 215 TOLLGATE RD WARWICK RI 02886 (401) 739‐1369
EAST SIDE CLINICAL LAB 300 TOLLGATE RD WARWICK RI 02886 (401) 738‐2419
LABORATORY FACILITIES
November 2014 v8 - Page 21 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE ADDRESS CITY STATE ZIP PHONE
EAST SIDE CLINICAL LAB 444 WEST SHORE RD WARWICK RI 02886 (401) 736‐0151
EAST SIDE CLINICAL LAB 869 POST RD WARWICK RI 02888 (401) 941‐4472
QUEST DIAGNOSTICS INC 215 TOLLGATE RD WARWICK RI 02886 (401) 737‐9032
QUEST DIAGNOSTICS INC 300 TOLLGATE RD WARWICK RI 02886 (401) 738‐5450
QUEST DIAGNOSTICS INC 897 WARWICK AVE WARWICK RI 02888 (401) 781‐7540
EAST SIDE CLINICAL LAB 37 WASHINGTON ST WEST WARWICK RI 02893 (401) 822‐8372
EAST SIDE CLINICAL LAB 80 BEACH ST WESTERLY RI 02891 (401) 348‐6401
EAST SIDE CLINICAL LAB 320 PHILLIPS ST WICKFORD RI 02852 (401) 295‐3125
EAST SIDE CLINICAL LAB 191 SOCIAL ST WOONSOCKET RI 02895 (401) 766‐9176
QUEST DIAGNOSTICS INC 340 WOOD ST BRAINTREE MA 02184 (781) 849‐7993
QUEST DIAGNOSTICS INC 415 MASSACHUSETTS AVE CAMBRIDGE MA 02139 (617) 547‐8900
STRATA PATHOLOGY SERVICES 25 FIRST ST CAMBRIDGE MA 02141 (781) 290‐0057
EAST SIDE CLINICAL LAB 484 HIGHLAND AVE FALL RIVER MA 02720 (508) 324‐4356
QUEST DIAGNOSTICS INC 101 PRESIDENT AVE FALL RIVER MA 02720 (508) 324‐4105
QUEST DIAGNOSTICS INC 1030 PRESIDENT AVE FALL RIVER MA 02720 (508) 324‐4105
QUEST DIAGNOSTICS INC 10 COMMERCIAL ST FOXBORO MA 02035 (508) 698‐1721
QUEST DIAGNOSTICS INC 70 WALNUT ST FOXBORO MA 02035 (508) 543‐0954
STRATA PATHOLOGY SERVICES 1 CRANBERRY HILL LEXINGTON MA 02421 (781) 290‐0057
QUEST DIAGNOSTICS INC 500 E WASHINGTON ST NORTH ATTLEBORO MA 02760 (508) 643‐4880
QUEST DIAGNOSTICS INC 49 STATE RD NORTHDARTMOUTH
MA 02747 (508) 993‐2601
EAST SIDE CLINICAL LAB 226 FIELD ST NEW BEDFORD MA 02740 (508) 990‐1740
COHEN DERMATOPATHOLOGY PC 320 NEEDHAM ST NEWTON MA 02464 (617) 969‐4100
COMMONWEALTH LABORATORIES 320 WASHINGTON ST NORWELL MA 02061 (781) 659‐0704
QUEST DIAGNOSTICS INC 335 MORSE ST NORWOOD MA 02062 (781) 769‐5128
QUEST DIAGNOSTICS INC 825 WASHINGTON ST NORWOOD MA 02062 (781) 769‐5128
QUEST DIAGNOSTICS INC 886 WASHINGTON ST NORWOOD MA 02062 (781) 762‐4238
QUEST DIAGNOSTICS INC 1261 FURNANCE BROOK PKWY QUINCY MA 02169 (617) 471‐4200
QUEST DIAGNOSTICS INC 21 SCHOOL ST QUINCY MA 02169 (617) 786‐9990
QUEST DIAGNOSTICS INC 500 CONGRESS ST QUINCY MA 02169 (617) 773‐0080
QUEST DIAGNOSTICS INC 230 WASHINGTON ST SOUTH ATTLEBORO MA 02703 (508) 399‐8140
QUEST DIAGNOSTICS INC 555 FOGG RD SOUTH WEYMOUTH MA 02190 (781) 340‐8000
QUEST DIAGNOSTICS INC 73 PLEASANT ST SOUTH WEYMOUTH MA 02190 (781) 335‐4208
QUEST DIAGNOSTICS INC 1428 MAIN ST WALPOLE MA 02081 (508) 660‐2975
LABORATORY FACILITIES
November 2014 v8 - Page 22 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE ADDRESS CITY STATE ZIP PHONE
QUEST DIAGNOSTICS INC 100 MLK JR BLVD WORCESTER MA 01609 (508) 754‐0178
QUEST DIAGNOSTICS INC 255 PARK AVE WORCESTER MA 01609 (508) 755‐7450
QUEST DIAGNOSTICS INC 24 COMMON ST WRENTHAM MA 02093 (508) 384‐2630
QUEST DIAGNOSTICS INC 667 SOUTH ST WAMPUM CNR WRENTHAM MA 02093 (508) 384‐8532
QUEST DIAGNOSTICS INC 3 STERLING DR WALLINGFORD CT 06492 (203) 949‐5500
PHYSICAL THERAPY CENTERS PRACTICE SITE ADDRESS CITY STATE ZIP PHONE
FOUNDATION PERFORM INC 21 JENNYS LN BARRINGTON RI 02806 (401) 475‐5775
LEPRE PT BARRINGTON LLC 236 COUNTY RD BARRINGTON RI 02806 (401) 247‐0500
MCVAY PHYSICAL THERAPY LLC 147 COUNTY RD BARRINGTON RI 02806 (401) 643‐1776
MILESTONE REHABILITATION 147 BAY SPRING AVE BARRINGTON RI 02806 (401) 433‐2207
PERFORMANCE PHYSICAL THERAPY 310 MAPLE AVE BARRINGTON RI 02806 (401) 433‐4049
PERFORMANCE PHYSICAL THERAPY 410 MAPLE AVE BARRINGTON RI 02806 (401) 433‐4049
BRISTOL COUNTY PT & SPORTS 1180 HOPE ST BRISTOL RI 02809 (401) 254‐1105
LIVELY, KELLY 1180 HOPE ST BRISTOL RI 02809 (401) 254‐1105
OLYMPIC PT SPORTS 450 HOPE ST BRISTOL RI 02809 (401) 398‐9581
COMPLETE BODY PT 1452 BRONCO HWY BURRILLVILLE RI 02830 (401) 371‐2890
JOHN WARD PHYSICAL THERAPY 4259 OLD POST RD CHARLESTOWN RI 02813 (401) 364‐0100
MICHAUD, SARA E. 3939 OLD POST RD CHARLESTOWN RI 02813 (401) 364‐2020
ELITE PHYSICAL THERAPY 982 TIOGUE AVE COVENTRY RI 02816 (401) 615‐3140
MILESTONE REHABILITATION 600 CENTER OF NEW ENGLANDBLVD
COVENTRY RI 02816 (401) 823‐4500
SPORT AND SPINE PT 45 SANDY BOTTOM RD COVENTRY RI 02816 (401) 381‐0515
ALPHA PHYSICAL THERAPY 1700 CRANSTON ST CRANSTON RI 02920 (401) 223‐0230
AUDREY GALLI PHYSICAL THERAPY 1500 OAKLAWN AVE CRANSTON RI 02920 (401) 463‐0113
DELSESTO, TRACIE A. 940A RESERVOIR AVE CRANSTON RI 02910 (401) 228‐3939
EXCEL PHYSICAL THERAPY 51 SOCKANOSSETTCROSSROAD
CRANSTON RI 02920 (401) 944‐7574
GAFFNEY, ALISA A. 940 RESERVOIR AVE CRANSTON RI 02910 (401) 228‐3939
GARDEN CITY REHAB CENTER 1150 RESERVOIR AVE CRANSTON RI 02920 (401) 946‐2400
HAND THERAPY ASSOC LLC 150 MIDWAY RD CRANSTON RI 02920 (401) 942‐3343
KENNETH MORRISSEY MD PC 1150 RESERVOIR AVE CRANSTON RI 02920 (401) 944‐8700
KEVIN M MULDOWNEY PT 667 ATWOOD AVE CRANSTON RI 02920 (401) 270‐2211
LABORATORY FACILITIES
November 2014 v8 - Page 23 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE ADDRESS CITY STATE ZIP PHONE
LIBERTY PHYSICAL THERAPY INC 1528 CRANSTON ST CRANSTON RI 02920 (401) 228‐7216
MORGENSTEIN, STEPHEN S. 1500 OAKLAWN AVE CRANSTON RI 02920 (401) 463‐9240
ORTHOPAEDIC ASSOCIATES 725 RESERVOIR AVE CRANSTON RI 02910 (401) 944‐3800
PALADIN PHYSICAL THERAPY 1100 RESERVOIR AVE CRANSTON RI 02910 (401) 785‐3334
PAPPAS PT OF WARWICK 2191 POST RD CRANSTON RI 02920 (401) 351‐0515
RI REHAB INSTITUTE 721 RESERVOIR AVE CRANSTON RI 02910 (401) 946‐4250
SPINETECH PT 1528 CRANSTON ST CRANSTON RI 02920 (401) 942‐1633
WILLIAM S BUONANNO MD IN 35 SOCKANOSSETTCROSSROADS
CRANSTON RI 02920 (401) 946‐6622
D & H THERAPY ASSOCIATES 2140 MENDON RD CUMBERLAND RI 02864 (401) 475‐3000
HEALY PHYSICAL THERAPY 2295 DIAMOND HILL RD CUMBERLAND RI 02864 (401) 438‐0905
LEPRE PT CUMBERLAND LLC 1764 MENDON RD CUMBERLAND RI 02864 (401) 785‐1016
OCCUPATIONAL HEALTH CENTER 2140 MENDON RD CUMBERLAND RI 02864 (401) 475‐4004
ORTHOPAEDIC ASSOCIATES 2138 MENDON RD CUMBERLAND RI 02864 (401) 334‐0218
CHOICE PT OF E GREENWICH 1000 DIVISION ST EAST GREENWICH RI 02818 (401) 885‐1792
CONTROLOGY PT INC 5600 POST RD EAST GREENWICH RI 02818 (401) 885‐0051
LEPRE PT OF EAST GREENWICH 5805 POST RD EAST GREENWICH RI 02818 (401) 884‐9700
MILESTONE REHABILITATION 159 DIVISION ST EAST GREENWICH RI 02818 (401) 884‐8780
TRU‐CARE PHYSICAL THERAPY 18 FIFTH AVE EAST GREENWICH RI 02818 (401) 884‐9541
UNIVERSITY OTOLARYNGOLOGY 1351 SOUTH COUNTY TRAIL EAST GREENWICH RI 02818 (401) 453‐5152
BENEFIT REHABILITATION LLC 5784 POST RD EAST GREENWICH RI 02818 (401) 556‐7761
CONTROLOGY PT INC 5835 POST RD EAST GREENWICH RI 02818 (401) 885‐0051
ELITE PHYSICAL THERAPY 3461 SOUTH COUNTY TRAIL EAST GREENWICH RI 02818 (401) 398‐7988
RI REHAB INSTITUTE 2725 SOUTH COUNTY TRAIL EAST GREENWICH RI 02818 (401) 203‐2000
UNIVERSITY ORTHOPEDICS 1405 SOUTH COUNTY TRAIL EAST GREENWICH RI 02818 (401) 402‐1025
BALANCE HOLISTIC CENTER LLC 1023 WATERMAN AVE EAST PROVIDENCE RI 02914 (401) 270‐7711
CARLSON THERAPY NETWORK 1001 WATERMAN AVE EAST PROVIDENCE RI 02914 (401) 434‐1773
CLAYBURGH, JESSICA E. 1023 WATERMAN AVE EAST PROVIDENCE RI 02914 (401) 270‐7711
HEALY PHYSICAL THERAPY 927 B WARREN AVE EAST PROVIDENCE RI 02914 (401) 438‐0905
KAREN A MORRONEDA PT LLC 250 WAMPANOAG TRAIL EAST PROVIDENCE RI 02915 (401) 490‐2275
LIFE CARE CENTERS OF AMERICA 1 EVERGREEN DR EAST PROVIDENCE RI 02914 (401) 438‐3250
NEUROHEALTH INC 900 WARREN AVE EAST PROVIDENCE RI 02914 (401) 732‐3332
PHYSICAL THERAPY CENTERS
November 2014 v8 - Page 24 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE ADDRESS CITY STATE ZIP PHONE
RI REHAB INSTITUTE 15 CATAMORE BLVD EAST PROVIDENCE RI 02914 (401) 434‐0200
PERFORMANCE PHYSICAL THERAPY 1525 WAMPANOAG TRAIL EAST PROVIDENCE RI 02915 (401) 433‐4049
PERFORMANCE PHYSICAL THERAPY 400 MASSASOIT AVE EAST PROVIDENCE RI 02914 (401) 270‐8770
SPORT AND SPINE PT 250 WAMPANOAG TRAIL EAST PROVIDENCE RI 02915 (401) 383‐9290
ULLUCCI SPORTS MEDICINE 1235 WAMPANOAG TRAIL EAST PROVIDENCE RI 02915 (401) 433‐1500
UNIVERSITY REHAB 450 VETERANS MEMORIALPKWY
EAST PROVIDENCE RI 02914 (401) 435‐2288
SWEETMAN, HEIDI C. 567 S COUNTY TRAIL EXETER RI 02822 (401) 295‐2374
MILESTONE REHABILITATION 715 PUTNAM PIKE GREENVILLE RI 02828 (401) 949‐0884
NORTHERN RI PHYSICAL THERAPY 1 GARNET LN GREENVILLE RI 02828 (401) 949‐0380
MARINO, GINA L. 6 HOPE FURNACE RD HOPE RI 02831 (401) 823‐4100
PAPPAS PT OF JOHNSTON 1539 ATWOOD AVE JOHNSTON RI 02919 (401) 383‐5299
PAPPAS PT OF WESTERLY 1526 ATWOOD AVE JOHNSTON RI 02919 (401) 383‐5299
THE CENTER FOR ORTHOPEDICS 1524 ATWOOD AVE JOHNSTON RI 02919 (401) 351‐6200
J ARTHUR TRUDEAU MEMORIAL CENTER
25 W INDEPENDENCE WAY KINGSTON RI 02881 (401) 284‐1980
UNIV PHYSICAL THERAPY 25 W INDEPENDENCE WAY KINGSTON RI 02881 (401) 874‐2006
D & H THERAPY ASSOCIATES 2 WAKE ROBIN RD LINCOLN RI 02865 (401) 333‐1747
NORTHERN RI PHYSICAL THERAPY 652 GEORGE WASHINGTONHWY
LINCOLN RI 02865 (401) 333‐3211
ORTHOPEDIC GROUP INC 6 BLACKSTONE VALLEY PL LINCOLN RI 02865 (401) 334‐3700
CLOUGH‐ALMEIDA, JULIE A. 1341 W MAIN ST MIDDLETOWN RI 02842 (401) 619‐1988
GALKOWSKI, ANN M. 1272 W MAIN RD MIDDLETOWN RI 02842 (401) 848‐5885
OLYMPIC PT SPORTS 1181 AQUIDENECK AVE MIDDLETOWN RI 02842 (401) 845‐0840
BARLOW REHABILITATION INC 140 PT JUDITH RD NARRAGANSETT RI 02882 (401) 792‐0900
BENEFIT REHABILITATION LLC 140 POINT JUDITH RD NARRAGANSETT RI 02882 (401) 556‐7761
J ARTHUR TRUDEAU MEMORIAL CENTER
140 PT JUDITH RD NARRAGANSETT RI 02882 (401) 783‐6853
LEPRE PT OF NARRAGANSETT 350 KINGSTON RD NARRAGANSETT RI 02882 (401) 782‐2229
PROACTIVE PHYS THERAPY 140 PT JUDITH RD NARRAGANSETT RI 02882 (401) 789‐2077
UNIVERSITY ORTHOPEDICS 19 FRIENDSHIP ST NEWPORT RI 02840 (401) 849‐5596
LIVING ESSENCE PT/HERBAL 38 BROWN ST NORTH KINGSTOWN RI 02852 (401) 954‐1807
ORTHOCORE PHYSICAL THERAPY 7610 POST RD UNIT NORTH KINGSTOWN RI 02852 (401) 667‐0131
PHYSICAL THERAPY SERVICES 300 TOWER HILL RD NORTH KINGSTOWN RI 02852 (401) 295‐8500
PREMIER ORTHO &WORK REHAB 650 TEN ROD RD NORTH KINGSTOWN RI 02852 (401) 667‐7997
PHYSICAL THERAPY CENTERS
November 2014 v8 - Page 25 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE ADDRESS CITY STATE ZIP PHONE
TENTE, ROBERT K. 1051 TEN ROD RD NORTH KINGSTOWN RI 02852 (401) 294‐0455
ALMEIDA, SUSAN 1635 MINERAL SPRING AVE NORTH PROVIDENCE RI 02904 (401) 353‐9100
CATALOZZI, MILVA L. 1635 MINERAL SPRING AVE NORTH PROVIDENCE RI 02904 (401) 353‐9100
JOSEPH A IZZI MD INC 1351 SMITH ST NORTH PROVIDENCE RI 02911 (401) 353‐5550
LEPRE PT OF N PROV LLC 1525 SMITH ST NORTH PROVIDENCE RI 02911 (401) 353‐8884
PERFORMANCE PHYSICAL THERAPY 1822 MINERAL SPRING AVE NORTH PROVIDENCE RI 02904 (401) 435‐4540
MARCOTTE PHYSICAL THERAPY INC 501 GREAT RD NORTH SMITHFIELD RI 02896 (401) 766‐7246
MATRIX SPORTS MED & PHYS 176 EDDIE DOWLING HWY NORTH SMITHFIELD RI 02896 (401) 597‐5665
MICHAEL S OLIN MD 63 EDDIE DOWLING HWY NORTH SMITHFIELD RI 02896 (401) 765‐1213
PHYSIOTHERAPY ASSOCIATES 594 GREAT RD NORTH SMITHFIELD RI 02896 (401) 767‐2425
D & H THERAPY ASSOCIATES 100 SMITHFIELD AVE PAWTUCKET RI 02860 (401) 725‐9666
FOUNDATION PERFORM INC 545 PAWTUCKET AVE PAWTUCKET RI 02860 (401) 475‐5775
LIBERTY PHYSICAL THERAPY INC 1145 MAIN ST PAWTUCKET RI 02860 (401) 475‐5900
ORTHOPEDIC GROUP INC 588 PAWTUCKET AVE PAWTUCKET RI 02860 (401) 722‐2400
RI REHAB INSTITUTE 727 EAST AVE PAWTUCKET RI 02860 (401) 365‐6800
RI SPINE CENTER INC 600 PAWTUCKET AVE PAWTUCKET RI 02860 (401) 728‐2200
PERFORMANCE PHYSICAL THERAPY 129 SCHOOL ST PAWTUCKET RI 02860 (401) 726‐7100
WHOLE HEALTH PHYSICAL THERAPY 407 EAST AVE PAWTUCKET RI 02860 (401) 722‐2225
CARELINK INC 100 NIANTIC AVE PROVIDENCE RI 02907 (401) 351‐2440
CARELINK INC 225 CHAPMAN ST PROVIDENCE RI 02905 (401) 490‐7610
CBS THERAPY 134 THURBERS AVE PROVIDENCE RI 02905 (401) 270‐9991
CRELLIN THERAPY SERVICES 1 BLACKSTONE PL PROVIDENCE RI 02905 (401) 453‐7520
D & H THERAPY ASSOCIATES 1 BUTLER AVE PROVIDENCE RI 02906 (401) 273‐5031
ELITE PHYSICAL THERAPY 285 GOVERNOR ST PROVIDENCE RI 02906 (401) 276‐0800
ELITE PHYSICAL THERAPY 385 GOVERNOR ST PROVIDENCE RI 02906 (401) 276‐0800
ELMWOOD ORTHO REHAB CENTER 193 ELMWOOD AVE PROVIDENCE RI 02907 (401) 459‐4000
EXCELLA HEALTHCARE INC 1 RICHMOND SQ PROVIDENCE RI 02906 (401) 369‐8443
EXCELLA HEALTHCARE INC 400 SMITH ST PROVIDENCE RI 02908 (401) 369‐8443
FAMILY SERVICE OF RI 134 THURBERS AVE PROVIDENCE RI 02905 (401) 331‐1350
FLEXIBLE PHYSICAL THERAPY 845 N MAIN ST PROVIDENCE RI 02904 (401) 270‐1905
FOUNDRY SPORTS MED & FIT 285 PROMENADE ST PROVIDENCE RI 02908 (401) 459‐4008
PHYSICAL THERAPY CENTERS
November 2014 v8 - Page 26 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE ADDRESS CITY STATE ZIP PHONE
HAND THERAPY ASSOC LLC 235 PLAIN ST PROVIDENCE RI 02905 (401) 942‐3343
JERROLD ROSENBERG MD 827 N MAIN ST PROVIDENCE RI 02904 (401) 453‐5030
LIBERTY PHYSICAL THERAPY INC 100 HIGHLAND AVE PROVIDENCE RI 02906 (401) 865‐6940
MEETING STREET 1000 EDDY ST PROVIDENCE RI 02905 (401) 533‐9100
MILESTONE REHABILITATION 353 BLACKSTONE BLVD PROVIDENCE RI 02906 (401) 751‐6900
MUSCULOSKELETAL INSTITUTE 298 W EXCHANGE ST PROVIDENCE RI 02903 (401) 270‐5900
OCCUPATIONAL HEALTH CENTER 290 BRANCH AVE PROVIDENCE RI 02904 (401) 722‐8880
PROVIDENCE PHYSICAL THERAPY 655 BROAD ST PROVIDENCE RI 02907 (401) 521‐2214
PROVIDENCE VAMC 830 CHALKSTONE AVE PROVIDENCE RI 02908 (401) 273‐7100
RI REHAB INSTITUTE 401 ELMGROVE AVE PROVIDENCE RI 02906 (401) 490‐9780
RIH EARLY INTERVENTION 593 EDDY ST PROVIDENCE RI 02903 (401) 444‐3201
RIH EARLY INTERVENTION 765 ALLENS AVE PROVIDENCE RI 02905 (401) 444‐3201
SILK PHYSICAL THERAPY 167 GANO ST PROVIDENCE RI 02906 (401) 274‐4325
PERFORMANCE PHYSICAL THERAPY 45 SEEKONK ST PROVIDENCE RI 02906 (401) 230‐1126
UNIVERSITY ORTHOPEDICS 100 BUTLER DR PROVIDENCE RI 02903 (401) 330‐1428
UNIVERSITY ORTHOPEDICS 2 DUDLEY ST PROVIDENCE RI 02905 (401) 457‐1590
UNIVERSITY OTOLARYNGOLOGY 130 WATERMAN ST PROVIDENCE RI 02906 (401) 453‐5152
WASHINGTON COUNTY PHYSICAL THERAPY
1167 MAIN ST RICHMOND RI 02898 (401) 539‐4600
STEVE MIGNACCA PT OCS PHYSICAL THERAPY ASSOCIATES
697 WILLETT AVE RIVERSIDE RI 02915 (401) 228‐7678
SILVA, BRYAN C. 21 RICH ST RUMFORD RI 02916 (401) 480‐2572
RI REHAB INSTITUTE 3045 TOWER HILL RD SAUNDERSTOWN RI 02874 (401) 783‐5500
COMPREHENSIVE PHYSICAL THERAPY
905 VICTORY HWY SLATERSVILLE RI 02876 (401) 762‐5390
D & H THERAPY ASSOCIATES 400E PUTNAM PIKE SMITHFIELD RI 02917 (401) 233‐3977
D & H THERAPY ASSOCIATES 466 PUTNAM PIKE SMITHFIELD RI 02917 (401) 233‐3977
OCCUPATIONAL HEALTH CENTER 400 PUTNAM PIKE SMITHFIELD RI 02917 (401) 232‐7359
PERFORMANCE PHYSICAL THERAPY 41 SANDERSON RD SMITHFIELD RI 02917 (401) 726‐7100
WEST BAY ORTHO ASSOC 41 SANDERSON RD SMITHFIELD RI 02917 (401) 349‐3991
OLYMPIC PT SPORTS 1812 MAIN RD TIVERTON RI 02878 (401) 625‐9855
SAKONNET PHYS THERAPY 31 SHOVE ST TIVERTON RI 02878 (401) 624‐4743
BODY MECHANIX PHYSICAL THERAPY
163 MAIN ST WAKEFIELD RI 02879 (401) 782‐4049
EASTER SEALS RI 213 ROBINSIN ST WAKEFIELD RI 02879 (401) 284‐1000
PHYSICAL THERAPY CENTERS
November 2014 v8 - Page 27 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE ADDRESS CITY STATE ZIP PHONE
OLYMPIC PT SPORTS 730 KINGSTOWN RD WAKEFIELD RI 02879 (401) 284‐3424
PHYSICAL THERAPY SERVICES 24 SALT POND RD WAKEFIELD RI 02879 (401) 792‐8500
SOUTH COUNTY ORTHOPEDICS 1 HIGH ST WAKEFIELD RI 02879 (401) 789‐1422
RI REHAB INSTITUTE 611 METACOM AVE WARREN RI 02885 (401) 245‐9660
CARELINK INC 140 WARWICK NECK WARWICK RI 02889 (401) 739‐2844
ELITE PHYSICAL THERAPY 101 CENTERVILLE RD WARWICK RI 02886 (401) 737‐6152
ELITE PHYSICAL THERAPY 535 CENTERVILLE RD WARWICK RI 02886 (401) 737‐4581
EXCELLA HEALTHCARE INC 75 MINNESOTA AVE WARWICK RI 02888 (401) 369‐8443
FRANKLIN E MIRRER MD ORTHOPAEDIC SURGEONS INC
215 TOLLGATE RD WARWICK RI 02886 (401) 739‐9050
J ARTHUR TRUDEAU MEMORIAL CENTER
250 COMMONWEALTH AVE WARWICK RI 02886 (401) 823‐1731
J ARTHUR TRUDEAU MEMORIAL CENTER
3445 POST RD WARWICK RI 02886 (401) 739‐2700
NEUROHEALTH INC 227 CENTERVILLE RD WARWICK RI 02886 (401) 732‐3332
O'BRIEN JR, ROBERT J. 106 GREEN RIVER AVE WARWICK RI 02889 (401) 783‐6853
OCCUPATIONAL HEALTH CENTER 400 BALD HILL RD WARWICK RI 02886 (401) 737‐4420
PREHAB SPORTS MEDICINE 2871 POST RD WARWICK RI 02886 (401) 463‐3060
REBOUND PHYSICAL THERAPY 25 CORONADO RD WARWICK RI 02886 (401) 739‐1223
SARGENT REHAB CENTER 800 QUAKER LN WARWICK RI 02818 (401) 886‐6600
SPECIALIZED ORTHO PT 250 CENTERVILLE RD WARWICK RI 02886 (401) 384‐6490
WARWICK AVE PHYS THERAPY 1030 WARWICK AVE WARWICK RI 02888 (401) 941‐0494
WEST BAY ORTHO ASSOC 120 CENTERVILLE RD WARWICK RI 02886 (401) 738‐3730
WEST BAY ORTHOPEDICS 120 CENTERVILLE RD WARWICK RI 02886 (401) 738‐7347
COVENTRY PHYSICAL THERAPY 66 NOOSENECK HILL RD WEST GREENWICH RI 02817 (401) 397‐8399
RIGHT CHOICE PHYSICAL THERAPY 28 NOOSENECK HILL RD WEST GREENWICH RI 02817 (401) 385‐9530
CRELLIN THERAPY SERVICES 328 COWESETT AVE WEST WARWICK RI 02893 (401) 821‐6091
SPORT AND SPINE PT 328 COWESETT AVE WEST WARWICK RI 02893 (401) 823‐8856
FOCUS PHYSICAL THERAPY 85 BEACH ST WESTERLY RI 02891 (401) 348‐8112
ISLAND PHYSICAL THERAPY 19 GROVE AVE WESTERLY RI 02879 (401) 315‐2995
NAPATREE PHYSICAL THERAPY 55 BEACH ST WESTERLY RI 02891 (401) 348‐1010
NEW ENGLAND WELLNESS & CHRONIC PAIN CENTER
19 GROVE AVE WESTERLY RI 02891 (401) 315‐2995
PAPPAS PT OF WESTERLY 77 FRANKLIN ST WESTERLY RI 02891 (401) 637‐4778
PHYSICAL THERAPY CENTERS
November 2014 v8 - Page 28 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE ADDRESS CITY STATE ZIP PHONE
PREMIER PHYSICAL THERAPY 50 AIRPORT RD WESTERLY RI 02891 (401) 596‐1616
FAMILY RESOURCES COMMUNITY ACTION
245 MAIN ST WOONSOCKET RI 02895 (401) 766‐0900
NEW ENGLAND PAIN ASSOC 25 JOHN CUMMINGS WAY WOONSOCKET RI 02895 (401) 767‐2525
ORTHOPEDIC & SPORTS PT 16 ARNOLD ST WOONSOCKET RI 02895 (401) 765‐2030
PARK SQUARE PT 1416 PARK AVE WOONSOCKET RI 02895 (401) 765‐0002
SEVEN HILLS RI 1 CUMBERLAND ST WOONSOCKET RI 02895 (401) 765‐0616
WASHINGTON COUNTY PHYSICAL THERAPY
12 STILSON RD WYOMING RI 02898 (401) 539‐4600
HOUGHTON PT & SPORTS COND 80 PARK ST ATTLEBORO MA 02703 (508) 223‐2300
MILTON CHIROPRACTIC 1095 WASHINGTON ST ATTLEBORO MA 02703 (508) 761‐9000
ORTHOPEDIC GROUP INC 16 HILLSIDE AVE ATTLEBORO MA 02703 (508) 222‐4496
PTC PHYSICAL THERAPY 734 NEWPORT AVE ATTLEBORO MA 02703 (508) 399‐1782
SMA‐PHYSICAL THERAPY 281 COUNTY ST ATTLEBORO MA 02703 (508) 226‐2213
SMA‐PHYSICAL THERAPY 63 N MAIN ST ATTLEBORO MA 02703 (508) 455‐0442
C & S REHABILITATION INC 40 N MAIN ST BELLINGHAM MA 02019 (508) 966‐2717
ACES PHYSICAL THERAPY 69 BAYVIEW AVE BERKLEY MA 02779 (508) 967‐7938
BARLEY FAMILY HEALTHCARE 270 HUTTLESTON AVE FAIRHAVEN MA 02719 (508) 997‐9100
PEDERSEN, TIMOTHY 17 SARAH'S WAY FAIRHAVEN MA 02719 (508) 991‐2918
YOUMAN, ELAINE L. 270 HUTTLESTON AVE FAIRHAVEN MA 02719 (508) 997‐9100
COASTAL ORTHOPAEDIC INST 235 HANOVER ST FALL RIVER MA 02720 (508) 646‐9525
FALL RIVER HLTHSERV,LLC 321 RHODE ISLAND AVE FALL RIVER MA 02721 (508) 675‐2522
FALL RIVER PHYSICAL THERAPY 657 PLEASANT ST FALL RIVER MA 02721 (508) 677‐2188
NATIONAL PHYSICAL THERAPY 275 MARTINE ST FALL RIVER MA 02723 (508) 324‐9300
SHERRY, JAE 425 PLEASANT ST FALL RIVER MA 02720 (774) 644‐5745
BAY STATE PHYSICAL THERAPY 67 MECHANIC ST FOXBORO MA 02035 (508) 203‐9350
BAY STATE PHYSICAL THERAPY 45 FORGE HILL RD FRANKLIN MA 02038 (508) 541‐9111
C & S REHABILITATION INC 26 ASYLUM ST MILFORD MA 01757 (508) 473‐0400
FAMILY CHIRO CENTER 994 KEMPTON ST NEW BEDFORD MA 02740 (508) 991‐4494
TOTAL HEALTH PC 80 WILLIAM ST NEW BEDFORD MA 02740 (508) 997‐8500
BAY STATE PHYSICAL THERAPY 300 ELMWOOD ST NORTH ATTLEBORO MA 02760 (508) 695‐2280
HOUGHTON PT & SPORTS COND 15 JOHN DIETSCH BLVD NORTH ATTLEBORO MA 02763 (508) 695‐4500
LARSSON, DIANE L. 500 E WASHINGTON ST NORTH ATTLEBORO MA 02760 (508) 643‐3800
PHYSICAL THERAPY CENTERS
November 2014 v8 - Page 29 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE ADDRESS CITY STATE ZIP PHONE
NORTHERN RI PHYSICAL THERAPY 749 S WASHINGTON ST NORTH ATTLEBORO MA 02760 (508) 643‐3900
SIROTA PHYSICAL THERAPY 126 CHESTNUT ST NORTH ATTLEBORO MA 02760 (781) 784‐0838
HODGSON, VALERIE T. 600 OLD SOMERSET AVE NORTH DIGHTON MA 02764 (508) 822‐1135
MILTON CHIROPRACTIC 111 WILLARD ST QUINCY MA 02169 (617) 471‐4491
PRO PHYSICAL THERAPY 350 FALL RIVER AVE SEEKONK MA 02771 (508) 336‐3121
ADVANTAGE PHYS THERAPY 1440 G A R HWY SOMERSET MA 02726 (508) 675‐0248
CLIFTON GERIATRIC CENTER 500 WILBUR AVE SOMERSET MA 02725 (508) 675‐7589
ELITE SPORTS INC 1519 CENTRAL ST STOUGHTON MA 02072 (781) 297‐0979
MT HOPE PHYSICAL THERAPY 1738 G A R HWY SWANSEA MA 02777 (508) 379‐0090
SPECHT ORTHOPEDIC INC 207 SWANSEA MALL DR SWANSEA MA 02777 (508) 675‐3200
60 QUAKER HIGHWAY INC 60 QUAKER HWY UXBRIDGE MA 01569 (508) 278‐7810
LOMONACO REHAB SERVICES 44 RIVULET ST UXBRIDGE MA 01569 (508) 278‐2002
THERASPRING PHYSICAL THERAPY 49 WALNUT PARK WELLESLEY MA 02481 (781) 237‐1185
BAY STATE PHYSICAL THERAPY 75 FINNELL DR WEYMOUTH MA 02188 (781) 335‐1151
BAY STATE PHYSICAL THERAPY 78 FENNELL DR WEYMOUTH MA 02188 (781) 335‐1151
GROSS, ELIZABETH E. 158 S BROAD ST PAWCATUCK CT 06379 (860) 599‐0819
OCCUPATIONAL THERAPY CENTERS PRACTICE SITE ADDRESS CITY STATE ZIP PHONE
JANEK, JOAN S. 34 BURTON ST BRISTOL RI 02809 (401) 253‐5314
HAND THERAPY ASSOC LLC 150 MIDWAY RD CRANSTON RI 02920 (401) 942‐3343
LANGSLET, KRISTI A. 22 POTTER ST CRANSTON RI 02910 (401) 575‐3830
ORTHOPAEDIC ASSOCIATES 725 RESERVOIR AVE CRANSTON RI 02910 (401) 943‐8835
RI HAND & ORTHOPEDIC CENTER 1150 RESERVOIR AVE CRANSTON RI 02920 (401) 942‐0280
RI REHAB INSTITUTE 721 RESERVOIR AVE CRANSTON RI 02910 (401) 946‐4250
OCCUPATIONAL HEALTH CENTER 2140 MENDON RD CUMBERLAND RI 02864 (888) 997‐2669
RI REHAB INSTITUTE 2725 SOUTH COUNTY TRAIL EAST GREENWICH RI 02818 (401) 203‐2000
UNIVERSITY ORTHOPEDICS 1405 SOUTH COUNTY TRAIL EAST GREENWICH RI 02818 (401) 884‐1177
LIFE CARE CENTERS OF AMERICA 1 EVERGREEN DR EAST PROVIDENCE RI 02914 (401) 438‐3250
RI REHAB INSTITUTE 15 CATAMORE BLVD EAST PROVIDENCE RI 02914 (401) 434‐0200
PAPPAS PT OF JOHNSTON 1539 ATWOOD AVE JOHNSTON RI 02919 (401) 351‐0515
PAPPAS PT OF WESTERLY 1526 ATWOOD AVE JOHNSTON RI 02919 (401) 383‐5299
PHYSICAL THERAPY CENTERS
November 2014 v8 - Page 30 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE ADDRESS CITY STATE ZIP PHONE
THE AUTISM PROJECT 1516 ATWOOD AVE JOHNSTON RI 02919 (401) 785‐2666
CAROL J HAMEL OD 132 OLD RIVER RD LINCOLN RI 02865 (401) 721‐5599
D & H THERAPY ASSOCIATES 2 WAKE ROBIN RD LINCOLN RI 02865 (401) 333‐1747
ORTHOPEDIC GROUP INC 6 BLACKSTONE VALLEY PL LINCOLN RI 02865 (401) 334‐3700
PHYSICAL THERAPY SERVICES 300 TOWER HILL RD NORTHKINGSTOWN
RI 02852 (401) 295‐8500
PREMIER ORTHO &WORK REHAB 650 TEN ROD RD NORTHKINGSTOWN
RI 02852 (401) 667‐7997
BARLOW REHABILITATION INC 140 POINT JUDITH RD NARRAGANSETT RI 02882 (401) 792‐0900
UNIVERSITY ORTHOPEDICS 19 FRIENDSHIP ST NEWPORT RI 02840 (401) 849‐6868
D & H THERAPY ASSOCIATES 100 SMITHFIELD AVE PAWTUCKET RI 02860 (401) 725‐9666
ORTHOPEDIC GROUP INC 588 PAWTUCKET AVE PAWTUCKET RI 02860 (401) 722‐7520
RI REHAB INSTITUTE 727 EAST AVE PAWTUCKET RI 02860 (401) 365‐6800
CARELINK INC 100 NIANTIC AVE PROVIDENCE RI 02907 (401) 351‐2440
CARELINK INC 225 CHAPMAN ST PROVIDENCE RI 02905 (401) 490‐7610
D & H THERAPY ASSOCIATES 1 BUTLER AVE PROVIDENCE RI 02906 (401) 273‐5031
EXCELLA HEALTHCARE INC 700 SMITH ST PROVIDENCE RI 02908 (888) 607‐3422
FAMILY SERVICE OF RI 134 THURBERS AVE PROVIDENCE RI 02905 (401) 331‐1350
FOUNDRY SPORTS MED & FIT 285 PROMENADE ST PROVIDENCE RI 02908 (401) 459‐4008
HAND THERAPY ASSOC LLC 235 PLAIN ST PROVIDENCE RI 02905 (401) 942‐3343
MEETING STREET 1000 EDDY ST PROVIDENCE RI 02905 (401) 533‐9100
OCCUPATIONAL HEALTH CENTER 290 BRANCH AVE PROVIDENCE RI 02904 (888) 997‐2669
PROVIDENCE VAMC 830 CHALKSTONE AVE PROVIDENCE RI 02908 (401) 273‐7100
RI REHAB INSTITUTE 401 ELMGROVE AVE PROVIDENCE RI 02906 (401) 490‐9780
RIH EARLY INTERVENTION 593 EDDY ST PROVIDENCE RI 02903 (401) 444‐3201
RIVARD‐MICHAUD, JANET L. 291 WATERMAN ST PROVIDENCE RI 02906 (401) 461‐8319
THE GRODEN CENTER INC 30 LIVINGSTON ST PROVIDENCE RI 02904 (401) 274‐6310
THE GRODEN CENTER INC 86 MT HOPE AVE PROVIDENCE RI 02906 (401) 274‐6310
UNIVERSITY ORTHOPEDICS 100 BUTLER DR PROVIDENCE RI 02906 (401) 626‐3851
UNIVERSITY ORTHOPEDICS 2 DUDLEY ST PROVIDENCE RI 02905 (401) 457‐1580
RI REHAB INSTITUTE 3045 TOWER HILL RD SAUNDERSTOWN RI 02874 (401) 783‐5500
D & H THERAPY ASSOCIATES 466 PUTNAM PIKE SMITHFIELD RI 02917 (401) 233‐3977
OCCUPATIONAL HEALTH CENTER 400 PUTNAM PIKE SMITHFIELD RI 02917 (888) 997‐2669
OCCUPATIONAL THERAPY CENTERS
November 2014 v8 - Page 31 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE ADDRESS CITY STATE ZIP PHONE
EASTER SEALS RI 213 ROBINSON ST WAKEFIELD RI 02879 (401) 284‐1000
PHYSICAL THERAPY SERVICES 24 SALT POND RD WAKEFIELD RI 02879 (401) 792‐8500
THERAPY PEDIATRICS INC 585 KINGSTOWN RD WAKEFIELD RI 02879 (401) 284‐4357
RI REHAB INSTITUTE 611 METACOM AVE WARREN RI 02885 (401) 245‐9660
CARELINK INC 140 WARWICK NECK WARWICK RI 02889 (401) 737‐8070
J ARTHUR TRUDEAU MEMORIAL CENTER
250 COMMONWEALTH AVE WARWICK RI 02886 (401) 823‐1731
J ARTHUR TRUDEAU MEMORIAL CENTER
3445 POST RD WARWICK RI 02886 (401) 739‐2700
OCCUPATIONAL HEALTH CENTER 400 BALD HILL RD WARWICK RI 02886 (888) 997‐2669
SARGENT REHAB CENTER 800 QUAKER LANE WARWICK RI 02818 (401) 886‐6600
DEEGAN, ELAINE M. 85 FRY POND RD WEST GREENWICH RI 02817 (401) 397‐2855
VISIONS OF INDEPENDENCE 71 KRISTEE CR WEST WARWICK RI 02893 (781) 784‐3320
PETRIE, BARBARA F. 19 GROVE AVE WESTERLY RI 02891 (401) 315‐2995
FAMILY RESOURCES COMM ACTION 245 MAIN ST WOONSOCKET RI 02895 (401) 766‐0900
SEVEN HILLS RI 1 CUMBERLAND ST WOONSOCKET RI 02895 (401) 775‐1500
ORTHOPEDIC GROUP INC 16 HILLSIDE AVE ATTLEBORO MA 02703 (508) 222‐4496
C & S REHABILITATION INC 40 N MAIN ST BELLINGHAM MA 02019 (508) 966‐2717
VISIONS OF INDEPENDENCE 52 CROSS ST FOXBORO MA 02035 (781) 784‐3320
C & S REHABILITATION INC 26 ASYLUM ST MILFORD MA 01757 (508) 473‐0400
VISIONS OF INDEPENDENCE 34 CREST RD WAY SHARON MA 02067 (781) 784‐3320
CLIFTON GERIATRIC CENTER 500 WILBUR AVE SOMERSET MA 02725 (508) 675‐7589
60 QUAKER HIGHWAY INC 60 QUAKER HWY UXBRIDGE MA 01569 (508) 278‐7810
COMMUNITY THERAPEUTIX PC 88 NORWICH UNCASVILLE CT 06382 (860) 848‐9157
OCCUPATIONAL THERAPY CENTERS
November 2014 v8 - Page 32 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
RADIOLOGY FACILITIES PRACTICE SITE ADDRESS CITY STATE ZIP PHONE
BRISTOL COUNTY OPEN MRI 1182 HOPE ST BRISTOL RI 02809 (401) 253‐6740
MEDICAL ASSOC OF RI 1180 HOPE ST BRISTOL RI 02809 (401) 253‐8900
MEMORIAL X‐RAY SERVICES 1000 BROAD ST CENTRAL FALLS RI 02863 (401) 726‐1800
COVENTRY IMAGING ASSOC 71 SANDY BOTTOM RD COVENTRY RI 02816 (401) 822‐8700
PAWTUXET VALLEY MEDICAL 982 TIOGUE AVE COVENTRY RI 02816 (401) 821‐6800
CRANSTON MRI PC 725 RESERVOIR AVE CRANSTON RI 02910 (401) 944‐4900
THE IMAGING INSTITUTE 1301 RESERVOIR AVE CRANSTON RI 02920 (401) 490‐0040
THE IMAGING INSTITUTE 1500 PONTIAC AVE CRANSTON RI 02920 (401) 228‐7901
XRA MEDICAL IMAGING 65 SOCKANOSSETTCROSSROADS
CRANSTON RI 02920 (401) 943‐1454
ADVANCED RADIOLOGY INC 525 BROAD ST CUMBERLAND RI 02864 (401) 725‐4600
NATE WHIPPLE RADIOLOGY 175 NATE WHIPPLE HWY CUMBERLAND RI 02864 (401) 658‐2440
OPEN MRI OF NEW ENGLAND 525 BROAD ST CUMBERLAND RI 02864 (401) 725‐6736
ADVANCED RADIOLOGY INC 1002 WATERMAN AVE EAST PROVIDENCE RI 02914 (401) 431‐5200
COASTAL MEDICAL INC 900 WARREN AVE EAST PROVIDENCE RI 02914 (401) 383‐8617
OPEN MRI OF NEW ENGLAND 1002 WATERMAN AVE EAST PROVIDENCE RI 02914 (401) 431‐5205
RADIOLOGY ASSOCIATES INC 450 VETERANS MEMORIALPKWY
EAST PROVIDENCE RI 02914 (401) 435‐3041
SYMPHONY DIAGNOSTIC 1206 HARTFORD AVE JOHNSTON RI 02919 (800) 821‐9236
THE CENTER FOR ORTHOPEDICS 1526 ATWOOD AVE JOHNSTON RI 02919 (401) 331‐0900
XRA MEDICAL IMAGING 1524 ATWOOD AVE JOHNSTON RI 02919 (401) 351‐1570
XRA MEDICAL IMAGING 1539 ATWOOD AVE JOHNSTON RI 02919 (401) 351‐0200
LINCOLN RADIOLOGY INC 2 WAKE ROBIN RD LINCOLN RI 02865 (401) 333‐8090
NATE WHIPPLE RADIOLOGY 2 WAKE ROBIN RD LINCOLN RI 02865 (401) 333‐8090
SPINNAKER ASSOCIATES 360 KINGSTOWN RD NARRAGANSETT RI 02882 (401) 782‐8808
AQUIDNECK RADIOLOGIST 11 FRIENDSHIP ST NEWPORT RI 02840 (401) 846‐6400
ENDO & INTERVENTAL ASSOC 1130 TEN ROD RD NORTHKINGSTOWN
RI 02852 (401) 295‐8655
IANNUCCILLI, NICHOLAS D. 1515 SMITH ST NORTHPROVIDENCE
RI 02911 (401) 353‐1600
RI PET SERVICES LLC 200 HIGH SERVICE AVE NORTHPROVIDENCE
RI 02904 (866) 245‐5995
THE IMAGING INSTITUTE 1500 MINERAL SPRING AVE NORTHPROVIDENCE
RI 02911 (401) 533‐9300
ADVANCED RADIOLOGY INC 501 GREAT RD NORTH SMITHFIELD RI 02896 (401) 766‐3900
November 2014 v8 - Page 33 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE ADDRESS CITY STATE ZIP PHONE
NATE WHIPPLE RADIOLOGY 63 EDDIE DOWLING HWY NORTH SMITHFIELD RI 02896 (401) 333‐8090
OPEN MRI OF NEW ENGLAND 501 GREAT RD NORTH SMITHFIELD RI 02896 (401) 766‐3900
ADVANCED RADIOLOGY INC 594 GREAT RD NORTH SMITHFIELD RI 02896 (401) 597‐0180
MEDICAL IMAGING ASSOC 100 EDDIE DOWLING HWY NORTH SMITHFIELD RI 02896 (401) 766‐0800
NORTHWEST COMMUNITY HEALTH 36 BRIDGEWAY PASCOAG RI 02859 (401) 568‐7661
ADVANCED RADIOLOGY INC 100 SMITHFIELD AVE PAWTUCKET RI 02860 (401) 475‐1891
RI PET SERVICES LLC 111 BREWSTER ST PAWTUCKET RI 02860 (866) 245‐5995
ADVANCED RADIOLOGY INC 1195 N MAIN ST PROVIDENCE RI 02906 (401) 383‐5621
ADVANCED RADIOLOGY INC 148 W RIVER ST PROVIDENCE RI 02904 (401) 621‐5800
MRI/CT OF PROVIDENCE, LLC 695 EDDY ST PROVIDENCE RI 02903 (401) 453‐5333
OPEN MRI OF NEW ENGLAND 148 W RIVER ST PROVIDENCE RI 02904 (401) 621‐5800
PRATT RAD/ONC ASSOC OF RI 593 EDDY ST PROVIDENCE RI 02903 (401) 444‐8311
RADIOLOGY ASSOCIATES INC 235 PLAIN ST PROVIDENCE RI 02905 (401) 272‐8510
RI PET SERVICES LLC 825 CHALKSTONE AVE PROVIDENCE RI 02908 (866) 245‐5995
XRA MEDICAL IMAGING 695 EDDY ST PROVIDENCE RI 02903 (401) 490‐0515
XRA MEDICAL IMAGING 41 SANDERSON RD SMITHFIELD RI 02917 (401) 949‐0027
RI PET SERVICES LLC 100 KENYON AVE WAKEFIELD RI 02879 (866) 245‐5995
XRA MEDICAL IMAGING 481 KINGSTOWN RD WAKEFIELD RI 02879 (401) 886‐6180
ADVANCED RADIOLOGY INC 335 CENTERVILLE RD WARWICK RI 02886 (401) 732‐1800
OPEN MRI OF NEW ENGLAND 335 CENTERVILLE RD WARWICK RI 02886 (401) 732‐3205
RADIOLOGY ASSOCIATES INC 469 CENTERVILLE RD WARWICK RI 02886 (401) 738‐9002
THE IMAGING INSTITUTE 250 TOLLGATE RD WARWICK RI 02886 (401) 921‐2900
TOLLGATE RADIOLOGY II LLC 300 TOLL GATE RD WARWICK RI 02886 (401) 738‐3100
TOLLGATE RADIOLOGY II LLC 45 GILBANE ST WARWICK RI 02886 (401) 738‐3100
XRA MEDICAL IMAGING 227 CENTERVILLE RD WARWICK RI 02886 (401) 737‐0884
ADVANCED RADIOLOGY INC 101 AIRPORT RD WESTERLY RI 02891 (401) 315‐0095
OPEN MRI OF NEW ENGLAND 101 AIRPORT RD WESTERLY RI 02891 (401) 315‐0095
RI PET SERVICES LLC 25 WELLS ST WESTERLY RI 02891 (866) 245‐5995
WESTERLY RADIOLOGY ASSOC 116 GRANITE ST WESTERLY RI 02891 (401) 596‐5695
WESTERLY RADIOLOGY ASSOC 55 BEACH ST 8B2CMERCHANTS SQUARE
WESTERLY RI 02891 (401) 596‐5695
DECESARIS, VINCENT A. 40 HAMLET AVE WOONSOCKET RI 02895 (401) 762‐0020
RADIOLOGY FACILITIES
November 2014 v8 - Page 34 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE ADDRESS CITY STATE ZIP PHONE
NE RADIOLOGY & LAB SERVICES 25 JOHN A CUMMINGS WAY WOONSOCKET RI 02895 (401) 766‐0015
RI PET SERVICES LLC 115 CASS AVE WOONSOCKET RI 02895 (866) 245‐5995
PREMIER DIAGNOSTIC SERVICE 54 BODWELL STREET AVON MA 02322 (508) 584‐6181
RADIOLOGY ASSOCIATES INC 200 CENTER ST BELLINGHAM MA 02019 (508) 404‐8433
STEWARD PET IMAGING LLC 535 FAUNCE CORNER RD DARTMOUTH MA 02747 (877) 877‐8455
COASTAL IMAGING ASSOC INC 1030 PRESIDENT AVE FALL RIVER MA 02720 (508) 679‐7392
COASTAL IMAGING ASSOC INC 363 HIGHLAND AVE FALL RIVER MA 02720 (508) 679‐7165
PRIMA CARE PC 289 PLEASANT ST FALL RIVER MA 02721 (508) 674‐0600
STEWARD PET IMAGING LLC 70 WALNUT ST FOXBORO MA 02035 (877) 877‐8455
AMERICAN OSTEOPOROSIS SERVICES INC
325 AYER RD HARVARD MA 01451 (978) 772‐1888
STEWARD PET IMAGING LLC 92 HIGH ST MILTON MA 02186 (877) 877‐8455
RAD ASSOC OF NEW BEDFORD 1155 PURCHASE ST NEW BEDFORD MA 02740 (508) 997‐2900
RAD ASSOC OF NEW BEDFORD 361 ALLEN ST NEW BEDFORD MA 02740 (508) 998‐3101
RAD ASSOC OF NEW BEDFORD 67 BIGHAM ST NEW BEDFORD MA 02740 (508) 993‐7200
RAD ASSOC OF NEW BEDFORD 874 PURCHASE ST NEW BEDFORD MA 02740 (508) 992‐6553
FR/NB REGIONAL MRI CENTER 313 FAUNCE CORNER RD NORTH DARTMOUTH
MA 02747 (800) 258‐4674
HAWTHORN MEDICAL ASSOCIATE 535 FAUNCE CORNER RD NORTH DARTMOUTH
MA 02747 (508) 996‐3991
NEW BEDFORD MEDICAL ASSOC 370 FAUNCE CORNER RD NORTH DARTMOUTH
MA 02747 (508) 961‐2414
RAD ASSOC OF NEW BEDFORD 313 FAUNCE CORNER RD NORTH DARTMOUTH
MA 02747 (508) 998‐3101
RAD ASSOC OF NEW BEDFORD 370 FAUNCE CORNER RD NORTH DARTMOUTH
MA 02747 (508) 961‐2414
RAD ASSOC OF NEW BEDFORD 300 B FAUNCE CORNER RD NORTH DARTMOUTH
MA 02747 (508) 998‐0600
NAVIX DIAGNOSTIX INC 100 MYLES STANDISH BLVD TAUNTON MA 02780 (508) 880‐3700
TAUNTON RADIOLOGY ASSOC 88 WASHINGTON ST TAUNTON MA 02780 (508) 828‐7200
SOUTH SHORE REGIONAL MRI 26 ROCKWAY AVE WEYMOUTH MA 02188 (800) 258‐4674
SWERIDUK, STEPHEN T. 119 BELMONT ST WORCESTER MA 01605 (800) 258‐4674
SWERIDUK, STEPHEN T. 214 SHREWSBURY ST WORCESTER MA 01604 (800) 258‐4674
TITELBAUM, DAVID S. 119 BELMONT ST WORCESTER MA 01605 (800) 258‐4674
GROTON DIAGNOSTIC IMAGING 565 LONG HILL RD GROTON CT 06340 (860) 448‐6736
TWH COMMUNITY HEALTH CENTER 183 PROVIDENCE NEWLONDON TURNPIKE
NORTH STONINGTON
CT 06359 (860) 535‐2273
LEVINSON, ELCON D. 1 TOWNE PARK PLAZA NORWICH CT 06360 (860) 886‐1433
RADIOLOGY FACILITIES
November 2014 v8 - Page 35 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
SLEEP CENTERS PRACTICE SITE ADDRESS CITY STATE ZIP PHONE
COASTAL MEDICAL INC 1351 SOUTH COUNTY TRAIL EAST GREENWICH RI 02818 (401) 438‐9607
EPOCH SLEEP CENTER LLC 1407 SOUTH COUNTY TRAIL EAST GREENWICH RI 02818 (401) 541‐9188
COASTAL MEDICAL INC 450 VETERANS MEMORIALPKWY
EAST PROVIDENCE RI 02914 (401) 438‐9607
EPOCH SLEEP CENTER LLC 6 BLACKSTONE VALLEY PL LINCOLN RI 02865 (401) 305‐3122
DIGITRACE CARE SERVICES INC 220 W EXCHANGE ST PROVIDENCE RI 02903 (401) 274‐5716
COASTAL MEDICAL INC 41 SANDERSON RD SMITHFIELD RI 02917 (401) 438‐9607
COASTAL MEDICAL INC 400 BALD HILL RD WARWICK RI 02886 (401) 438‐9607
EPOCH SLEEP CENTER LLC 55 LAMBERT LIND HWY WARWICK RI 02886 (401) 681‐4680
PULMONARY & SLEEP OFFICE OF NE 25 JOHN CUMMINGS WAY WOONSOCKET RI 02895 (401) 766‐6066
PRIMA CARE PC 277 PLEASANT ST FALL RIVER MA 02721 (508) 672‐6068
NEW BEDFOR MEDICAL ASSOC 370 FAUNCE CORNER RD NORTHDARTMOUTH
MA 02747 (508) 999‐5666
PULMONARY & SLEEP OFFICE OF NE 95 CHAPEL ST NORWOOD MA 02062 (781) 769‐7011
EPOCH SLEEP CENTER LLC 1010 GAR HWY SWANSEA MA 02777 (401) 541‐9188
SPEECH THERAPY CENTERS PRACTICE SITE ADDRESS CITY STATE ZIP PHONE
RUSSO SLP, SARA J 78 WARREN AVE CRANSTON RI 02920 (401) 954‐0222
WOLOOHOJIAN SLP, CARLA M 1672 CRANSTON ST CRANSTON RI 02920 (401) 864‐0204
ORISTAGLIO SLP, REBECCA M 134 KENYON AVE EAST GREENWICH RI 02818 (401) 885‐4549
PETERSON SLP, LAURA N 80 ANN DR EAST GREENWICH RI 02818 (401) 886‐7755
PLYMPTON SLP, JENNIFER D 85 RIVER FARM DR EAST GREENWICH RI 02818 (401) 578‐5328
LIFE CARE CENTERS OF AMERICA 1 EVERGREEN DR EAST PROVIDENCE RI 02914 (401) 438‐3250
PAPPAS PT OF JOHNSTON 1539 ATWOOD AVE JOHNSTON RI 02919 (401) 351‐0515
THE AUTISM PROJECT 1516 ATWOOD AVE JOHNSTON RI 02919 (401) 785‐2666
J ARTHUR TRUDEAU CENTER 25 W INDEPENDENCE WAY KINGSTON RI 02881 (401) 284‐1980
URI SPEECH & HEARING CENTER 25 W INDEPENDENCE WAY KINGSTON RI 02881 (401) 874‐9387
MCKINNON SLP, LAURIE J 25 LINDA ST LINCOLN RI 02865 (401) 323‐0990
FIGUEROA SLP, GLORIA G 17 TALIA CT NARRAGANSETT RI 02882 (401) 741‐0680
J ARTHUR TRUDEAU CENTER 140 PT JUDITH RD NARRAGANSETT RI 02882 (401) 783‐6853
J ARTHUR TRUDEAU CENTER 25 W INDEPENDENCE WAY NARRAGANSETT RI 02882 (401) 783‐6853
November 2014 v8 - Page 36 of 36 This is a summary of Tier 1 SelectRI providers. It is not a contract. For the most current Tier 1 providers, go to BCBSRI.com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association
PRACTICE SITE ADDRESS CITY STATE ZIP PHONE
KING IDEN SLP, KRISTIN S 420 SCRABBLETOWN RD NORTHKINGSTOWN
RI 02852 (401) 368‐0045
VARRECCHIONE SLP, HEIDI J 300 TOWER HILL RD NORTHKINGSTOWN
RI 02852 (401) 295‐8500
FAMILY SERVICE OF RI 134 THURBERS AVE PROVIDENCE RI 02905 (401) 331‐1350
FAVA SLP, MICHELE G 347 BROADWAY PROVIDENCE RI 02909 (401) 529‐6944
MEETING STREET 1000 EDDY ST PROVIDENCE RI 02905 (401) 553‐9100
PROVIDENCE VAMC 830 CHALKSTONE AVE PROVIDENCE RI 02908 (401) 273‐7100
RIH EARLY INTERVENTION 593 EDDY ST PROVIDENCE RI 02903 (401) 444‐3201
THE GRODEN CENTER INC 30 LIVINGSTON ST PROVIDENCE RI 02904 (401) 421‐1895
THE GRODEN CENTER INC 86 MT HOPE AVE PROVIDENCE RI 02906 (401) 274‐6310
TOBIN SLP, WILLIAM D 1195 N MAIN ST PROVIDENCE RI 02904 (401) 932‐2232
EASTER SEALS RI 213 ROBINSON ST WAKEFIELD RI 02879 (401) 284‐1000
GAUMAN SLP, LYNN L 35A NORTH RD WAKEFIELD RI 02879 (401) 225‐6989
J ARTHUR TRUDEAU CENTER 250 COMMONWEALTH AVE WARWICK RI 02886 (401) 823‐1731
J ARTHUR TRUDEAU CENTER 3445 POST RD WARWICK RI 02886 (401) 739‐2700
SARGENT REHAB CENTER 800 QUAKER LN WARWICK RI 02818 (401) 886‐6600
FAMILY RESOURCES COMMUNITY ACTION
245 MAIN ST WOONSOCKET RI 02895 (401) 766‐0900
SEVEN HILLS RI 1 CUMBERLAND ST WOONSOCKET RI 02895 (401) 775‐1500
SEVEN HILLS RI 30 CUMBERLAND ST WOONSOCKET RI 02895 (401) 775‐1500
NORTHEAST EAR NOSE & THROAT 299 FAUNCE CORNER RD NORTHDARTMOUTH
MA 02747 (508) 995‐0700
SPEECH & LANGUAGE THERAPY 49 STATE RD NORTHDARTMOUTH
MA 02747 (508) 985‐1998
CLIFTON GERIATRIC CENTER 500 WILBUR AVE SOMERSET MA 02725 (508) 675‐7589
60 QUAKER HWY INC 60 QUAKER HWY UXBRIDGE MA 01569 (508) 278‐7810
SPEECH THERAPY CENTERS