| Dr Brian George Kwetkowski, DO | |
|
320 Phillips St Ste 201, North Kingstown, RI 02852-5149 | |
| (401) 295-3120 | |
| (401) 295-1230 |
| Full Name | Dr Brian George Kwetkowski |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 320 Phillips St Ste 201, North Kingstown, Rhode Island |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114038445 | NPI | - | NPPES |
| BK42026 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO00498 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of Fatima Hospital | North providence, RI | Hospital |
| Kent County Memorial Hospital | Warwick, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Comprehensive Community Action, Inc. | 0749176055 | 23 |
| Entity Name | Comprehensive Community Action, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366441719 PECOS PAC ID: 0749176055 Enrollment ID: O20040312000668 |
| Entity Name | Silver Spring Health Care Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306365812 PECOS PAC ID: 4688661127 Enrollment ID: O20180214001403 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian George Kwetkowski, DO 455 Toll Gate Rd, Warwick, RI 02886-2759 Ph: (401) 738-7015 | Dr Brian George Kwetkowski, DO 320 Phillips St Ste 201, North Kingstown, RI 02852-5149 Ph: (401) 295-3120 |
Susan Elizabeth Taft, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 308 Callahan Rd, North Kingstown, RI 02852 Phone: 401-295-9706 Fax: 401-295-0920 | |
Lauren Kathleen Hedde, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 320 Phillips St Unit L, North Kingstown, RI 02852 Phone: 401-400-2699 | |
Dr. Lynn Ho, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 320 Phillips St, Ste 102, North Kingstown, RI 02852 Phone: 401-667-2537 Fax: 401-667-2538 | |
John Joseph Machata, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 320 Phillips Street, Suite 102, North Kingstown, RI 02852 Phone: 401-294-9949 Fax: 888-898-5898 |