Dr. Traci M Bologna-jill is a Providence, Rhode Island based female podiatrist with 6 years of experience in Podiatrist. She completed her graduation from New York College Of Podiatric Medicine in 2018. She is also affiliated with hospitals like Rhode Island Hospital. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Traci M Bologna-jill for Podiatric Foot & Ankle Surgery is DPM00367 in Rhode Island. Dr. Traci M Bologna-jill is qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. She diagnose and treat foot diseases and deformities. She can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Traci M Bologna-jill speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Experience:
6+ years
Medical School Attended:
New York College Of Podiatric Medicine
Graduation Year:
2018
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
1 Randall Sq Ste 408, Providence, Rhode Island, 02904-7405
Phone:
401-453-2000
Fax:
401-253-2002
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0648672808
Enrollment ID:
I20210709001948
NPI Number:
1346746062
NPI Enumeration Date:
02 Apr, 2018
NPI Last Update On:
15 Dec, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Traci M Bologna-jill are as mentioned below.
License Number
Specialization
State
Status
DPM00367
Podiatric Foot & Ankle Surgery
Rhode Island
Primary
Student in an Organized Health Care Education/Training Program
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Rhode Island Hospital (410007)
Providence, RI
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Traci M Bologna-jill is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
University Foot And Ankle Center Inc (6406932177)
5
University Foot And Ankle Center Inc (6406932177)
5
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1 Randall Sq Ste 408, Providence, Rhode Island
Zip:
02904-7405
Phone Number:
401-453-2000
Fax Number:
401-253-2002
Patients can reach Dr. Traci M Bologna-jill at 1 Randall Sq Ste 408, Providence, Rhode Island or can call to book an appointment on 401-453-2000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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