| Dr Kenneth Wells, MD | |
|
20 Southwest Ave, Jamestown, RI 02835-1120 | |
| (401) 423-2616 | |
| Not Available |
| Full Name | Dr Kenneth Wells |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 32 Years |
| Location | 20 Southwest Ave, Jamestown, 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 |
|---|---|---|---|
| 1629097506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 150360 (Massachusetts) | Secondary |
| 207Q00000X | Family Medicine | MD17265 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Newport Hospital | Newport, RI | Hospital |
| The Miriam Hospital | Providence, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coastal Medical Physicians Inc | 0345658316 | 143 |
| Entity Name | Lifespan Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368 |
| Entity Name | Coastal Medical Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780273540 PECOS PAC ID: 0345658316 Enrollment ID: O20210427001413 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Wells, MD 117 Ellenfield St Ste 101, Providence, RI 02905-4541 Ph: (401) 444-6779 | Dr Kenneth Wells, MD 20 Southwest Ave, Jamestown, RI 02835-1120 Ph: (401) 423-2616 |
Carla Marie Vaccaro, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Southwest Ave, Jamestown, RI 02835 Phone: 401-423-2616 Fax: 401-423-3485 | |
Joseph J England, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 20 Southwest Ave, Jamestown, RI 02835 Phone: 401-423-2616 Fax: 401-423-3485 |