| Wickford Family Medicine Llc | |
|
320 Phillips St Suite 204 North Kingstown RI 02852-5149 | |
| (401) 450-2111 | |
| Not Available |
| Full Name | Wickford Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 320 Phillips St, North Kingstown, Rhode Island |
| Authorized Official Name and Position | John Machata (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4014502111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wickford Family Medicine Llc Po Box 118 North Kingstown RI 02852-0118 Ph: (401) 450-2111 | Wickford Family Medicine Llc 320 Phillips St Suite 204 North Kingstown RI 02852-5149 Ph: (401) 450-2111 |
| NPI Number | 1104124734 |
|---|---|
| Provider Enumeration Date | 03/07/2011 |
| Last Update Date | 03/07/2011 |
| Medicare PECOS PAC ID | 1759550957 |
|---|---|
| Medicare Enrollment ID | O20110804000204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104124734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 08781 (Rhode Island) | Primary |
| Provider Name | John Joseph Machata |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922064534 PECOS PAC ID: 8123080116 Enrollment ID: I20041102000296 |
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Wickford Internists, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Phillips St, Suite 201, North Kingstown, RI 02852 Phone: 401-295-3120 Fax: 401-295-1230 | |
J. D. Gloor, M. D., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7260 Post Rd Ste 103, North Kingstown, RI 02852 Phone: 401-294-8200 Fax: 401-294-8222 | |
Bayside Family Healthcare Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 Callahan Rd, North Kingstown, RI 02852 Phone: 401-295-9706 Fax: 401-295-0920 | |
North Kingstown Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Phillips St, Ste 102, North Kingstown, RI 02852 Phone: 401-667-2537 Fax: 401-667-2538 | |
Wickford Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 320 Phillips St Ste 102, North Kingstown, RI 02852 Phone: 603-667-6765 |