Your active Railroad Medicare PTAN has been located and is shown here :  PROVIDER NAME	MELODY C LETOILE LCS PROVIDER PTAN	P02568200 PROVIDER NPI	1942687108 EFFECTIVE DATE	09/01/2020 END DATE	 GROUP NAME	SPECTRUM NEURO BEHAVIORAL CA GROUP PTAN	EA0360 BUSINESS STATE	RI EFFECTIVE DATE	07/29/2019 END DATE	 