Bette Jean Gillerin, MD
Individual provider Active NPI Internal Medicine Physician · Pascoag, RI
NPI 1942390844 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1942390844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD8610 (RI)
- Practice address
- 2090 Wallum Lake Rd
Pascoag, RI 02859-1813 - Phone
- (401) 567-5400
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD8610 | RI | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD8610 | RI | Yes |
Addresses
Primary practice location
2090 Wallum Lake Rd
Pascoag, RI 02859-1813
Mailing address
2090 Wallum Lake Rd
Pascoag, RI 02859-1813
Phone (401) 567-5400
Other providers in Pascoag, RI
- Rachel Lorraine Ferland
- Caitlin Maire Fitzpatrick
- Charles D Fraser
- Maria Hope Gaskell
- Mark Dennis V Geronimo
- Mary Louise Giovetti
- John Goddard
- Clifford I Gordon
- Ashleigh Nicole Graley
- Harken Inc
All providers in Pascoag, RI · Internal Medicine Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.