Individual
ANDREW MACKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1150 NEW LONDON AVE, CRANSTON, RI 02920-3036
(401) 270-3232
(401) 383-9480
Mailing address
1150 NEW LONDON AVE, CRANSTON, RI 02920-3036
(401) 270-3232
(401) 383-9480
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00295
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7010647
—
RI
01
—
9790039451
MEDICARE PTAN
RI
Enumeration date
03/03/2006
Last updated
02/19/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us