Wellone Primary Medical And Dental Care is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Foster, Rhode Island. The current practice location for Wellone Primary Medical And Dental Care is 142a Danielson Pike, Foster, Rhode Island. For appointments, you can reach them via phone at
(401) 647-3702. The mailing address for Wellone Primary Medical And Dental Care is Po Box 312, Pascoag, Rhode Island and phone number is (401) 568-7664.
Wellone Primary Medical And Dental Care is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1821254525. 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
(401) 647-3702.
Primary Care Clinic Profile
| Full Name | Wellone Primary Medical And Dental Care |
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| Speciality | Clinic/Center |
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| Location | 142a Danielson Pike, Foster, Rhode Island |
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| Authorized Official Name and Position | Peter J Bancroft (PRESIDENT & CEO) |
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| Authorized Official Contact | 4012855119 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Wellone Primary Medical And Dental Care
Po Box 312
Pascoag
RI 02859
Ph: (401) 568-7664 | Wellone Primary Medical And Dental Care
142a Danielson Pike
Foster
RI 02825-1475
Ph: (401) 647-3702 |
NPI Details:
| NPI Number | 1821254525 |
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| Provider Enumeration Date | 08/01/2008 |
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| Last Update Date | 10/21/2011 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1355250663 |
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| Medicare Enrollment ID | O20080821000540 |
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Medical Identifiers
Medical identifiers for Wellone Primary Medical And Dental Care such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821254525 | NPI | - | NPPES |
| NC50602 | Medicaid | RI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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