Mary Moon Manzo, PA-C
Mary Moon Manzo, PA-C is a Physician Assistant in Newport, Rhode Island. Qualified in 2001, 25 years ago. Practices with Elliot Professional Services, a 424-clinician group and accepts Medicare assignment. Licensed in Rhode Island.
- Years since qualifying
- 25
- Licensed in
- RI
- In the registry since
- 2006
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
19 Friendship StNewport, RI 02840-2272
Phone: (401) 849-6868
Fax: (401) 847-3840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence PA 449 (RI) |
|---|
Record details
| NPI number | 1730292244 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | August 17, 2006 |
| Last updated in NPPES | February 16, 2012 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2001 (25 years in practice) |
| Group practice | Elliot Professional Services — 424 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Newport
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Stephanie Slone, PA-C
11 Friendship St, Newport, RI 02840-2209 · (401) 846-6400