<unavail> in Providence, RI - Medicare Internal Medicine

is a medicare enrolled primary clinic (Internal Medicine) in Providence, Rhode Island. The current practice location for is 10 Dorrance St Ste 700, Providence, Rhode Island. For appointments, you can reach them via phone at (802) 397-9366. The mailing address for is 1111b S Governors Ave Ste 3887, Dover, Delaware and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1619724481. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (802) 397-9366.

Contact Information


	10 Dorrance St Ste 700 Providence RI 02903-2014
	(802) 397-9366
	(603) 570-1470

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	10 Dorrance St Ste 700, Providence, Rhode Island
Authorized Official Name and Position	Joseph Brunink (CEO)
Authorized Official Contact	6038369869
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1111b S Governors Ave Ste 3887 Dover DE 19904-6903 Ph: () -	10 Dorrance St Ste 700 Providence RI 02903-2014 Ph: (802) 397-9366

NPI Details:

NPI Number	1619724481
Provider Enumeration Date	05/01/2024
Last Update Date	09/06/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	5698211456
Medicare Enrollment ID	O20240729002785

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619724481	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Kaci L Potter
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1881047207 PECOS PAC ID: 9830487677 Enrollment ID: I20161012000134

Provider Name	Andrew Wagner
Provider Type	Practitioner - Emergency Medicine
Provider Identifiers	NPI Number: 1215154018 PECOS PAC ID: 5597817957 Enrollment ID: I20240729003089

Provider Name	David Sanchez
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1790131894 PECOS PAC ID: 9133488547 Enrollment ID: I20241202000092

Reviews and Comments

Internal Medicine in Providence, RI

Kevin E. Baill Md & Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Blackstone Blvd, Providence, RI 02906 Phone: 917-447-2138
Ocean State Urgent Care At St Joseph Health Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Peace St, Providence, RI 02907 Phone: 301-314-3999 Fax: 401-808-6294
Theodore C. Palumbo, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 Staniford St, Providence, RI 02905 Phone: 401-421-8800 Fax: 401-273-6510
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 145 Beaufort St, Providence, RI 02908 Phone: 888-612-7242 Fax: 401-444-0421
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 290 Branch Ave, Providence, RI 02904 Phone: 401-722-8880 Fax: 401-723-9320
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 381 Wickenden St, Providence, RI 02903 Phone: 401-433-7550 Fax: 401-490-0905
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Benefit St, Providence, RI 02904 Phone: 401-274-4505

- Medicare Primary Care in Providence, RI