| Wound Care Specialists, Llc | |
|
10 Dorrance St Ste 700 Providence RI 02903-2014 | |
| (203) 598-6045 | |
| (203) 879-0834 |
| Full Name | Wound Care Specialists, Llc |
|---|---|
| Speciality | General Practice |
| Location | 10 Dorrance St Ste 700, Providence, Rhode Island |
| Authorized Official Name and Position | Jonathan Brenes (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 2035986045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Care Specialists, Llc 76 Batterson Park Rd Ste 106 Farmington CT 06032-2571 Ph: () - | Wound Care Specialists, Llc 10 Dorrance St Ste 700 Providence RI 02903-2014 Ph: (203) 598-6045 |
| NPI Number | 1881211738 |
|---|---|
| Provider Enumeration Date | 06/26/2020 |
| Last Update Date | 10/23/2023 |
| Medicare PECOS PAC ID | 0042614331 |
|---|---|
| Medicare Enrollment ID | O20210809002918 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881211738 | NPI | - | NPPES |
| Provider Name | Nicole K Breting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023488145 PECOS PAC ID: 1456652015 Enrollment ID: I20151228000053 |
| Provider Name | Sujit Michael Ray |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1336469592 PECOS PAC ID: 3779724554 Enrollment ID: I20210809002841 |
| Provider Name | Amy L Wright |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831540327 PECOS PAC ID: 5092008797 Enrollment ID: I20230612001144 |
| Provider Name | Brianna Putnam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932715356 PECOS PAC ID: 8527417856 Enrollment ID: I20240429000485 |
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