| Aaron W. Way, D.o. | |
|
55 Cherry Ln Suite 1b Wakefield RI 02879-3617 | |
| (401) 284-4555 | |
| (888) 781-7202 |
| Full Name | Aaron W. Way, D.o. |
|---|---|
| Speciality | Family Medicine |
| Location | 55 Cherry Ln, Wakefield, Rhode Island |
| Authorized Official Name and Position | Aaron William Way (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4012844555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aaron W. Way, D.o. 55 Cherry Ln Suite 1b Wakefield RI 02879-3617 Ph: (401) 284-4555 | Aaron W. Way, D.o. 55 Cherry Ln Suite 1b Wakefield RI 02879-3617 Ph: (401) 284-4555 |
| NPI Number | 1861811358 |
|---|---|
| Provider Enumeration Date | 04/11/2014 |
| Last Update Date | 01/10/2017 |
| Medicare PECOS PAC ID | 9638399629 |
|---|---|
| Medicare Enrollment ID | O20140925000069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861811358 | NPI | - | NPPES |
| 1356497176 | Other | RI | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO00631 (Rhode Island) | Primary |
| Provider Name | Aaron W Way |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356497176 PECOS PAC ID: 5597825976 Enrollment ID: I20081114000298 |
| Provider Name | Jill Susan Berk |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1073103339 PECOS PAC ID: 0941617476 Enrollment ID: I20210330002294 |
| Provider Name | Melissa Ann Roch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851085617 PECOS PAC ID: 7618336777 Enrollment ID: I20230707000431 |
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