| Scmg Pulmonary & Sleep Clinic | |
|
100 Kenyon Ave Wakefield RI 02879-4216 | |
| (401) 788-1127 | |
| Not Available |
| Full Name | Scmg Pulmonary & Sleep Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Kenyon Ave, Wakefield, Rhode Island |
| Authorized Official Name and Position | Marcia T Polhemus (CONTROLLER) |
| Authorized Official Contact | 4017881974 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scmg Pulmonary & Sleep Clinic Po Box 229 Wakefield RI 02880-0229 Ph: (401) 788-8757 | Scmg Pulmonary & Sleep Clinic 100 Kenyon Ave Wakefield RI 02879-4216 Ph: (401) 788-1127 |
| NPI Number | 1295105294 |
|---|---|
| Provider Enumeration Date | 10/02/2015 |
| Last Update Date | 02/10/2022 |
| Medicare PECOS PAC ID | 4688661127 |
|---|---|
| Medicare Enrollment ID | O20151215002699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295105294 | NPI | - | NPPES |
| Provider Name | Patricia M Russo- Magno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184609422 PECOS PAC ID: 9234189093 Enrollment ID: I20050128000704 |
| Provider Name | Rakesh Gupta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639120561 PECOS PAC ID: 6204874027 Enrollment ID: I20050421001333 |
| Provider Name | Bashar Bash |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598797037 PECOS PAC ID: 7911947973 Enrollment ID: I20050509001024 |
| Provider Name | Khalid Alhourani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831232636 PECOS PAC ID: 8426101478 Enrollment ID: I20090808000108 |
| Provider Name | Jason C Graff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316973100 PECOS PAC ID: 6406856277 Enrollment ID: I20210615003122 |
| Provider Name | Theodore Delmonico |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376806943 PECOS PAC ID: 6204109630 Enrollment ID: I20221006000105 |
Green Line Express Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 245 Main St, Wakefield, RI 02879 Phone: 401-360-3500 | |
South County Internal Medicine, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 481 Kingstown Rd, Wakefield, RI 02879 Phone: 401-789-0283 Fax: 401-789-0314 | |
Family Doctor Plus Ri Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 553 Kingstown Rd, Wakefield, RI 02879 Phone: 401-304-9111 Fax: 401-284-0625 | |
Beatriz M. Demoranville, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Kenyon Ave, Suite B1, Wakefield, RI 02879 Phone: 401-783-5044 Fax: 401-782-1363 | |
John Jefferys Bandola, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Kenyon Ave, Suite 326, Wakefield, RI 02879 Phone: 401-789-8543 Fax: 401-782-8766 | |
Evolvemd, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Main St, Wakefield, RI 02879 Phone: 401-782-2400 |