- Primary Care in Kingston, RI

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is a primary clinic (General Practice) in Kingston, Rhode Island. The current practice location for is 3 Keaney Road, Suite 1, Kingston, Rhode Island. For appointments, you can reach them via phone at (972) 367-4845. The mailing address for is 5050 Spring Valley Rd, Dallas, Texas and phone number is () -.

is licensed to practice in Rhode Island (license number DO00893) and its NPI number is 1477065118. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (972) 367-4845.

Contact Information

3 Keaney Road
Suite 1
Kingston
RI 02881
(972) 367-4845
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityGeneral Practice
Location3 Keaney Road, Kingston, Rhode Island
Authorized Official Name and PositionMouzon Bass (AGENT)
Authorized Official Contact9723674845
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

5050 Spring Valley Rd
Dallas
TX 75244-3995

Ph: () -
3 Keaney Road
Suite 1
Kingston
RI 02881

Ph: (972) 367-4845

NPI Details:

NPI Number1477065118
Provider Enumeration Date11/03/2017
Last Update Date11/03/2017

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477065118NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice DO00893 (Rhode Island)Primary

Reviews and Comments


General Practice in Kingston, RI


Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 6 Butterfield Road, Potter Building, Kingston, RI 02881
Phone: 401-874-5155    Fax: 401-874-2586

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.