Matthew C Wylie, MD | |
175 Nate Whipple Hwy Ste 102, Cumberland, RI 02864-1422 | |
(401) 334-5437 | |
(401) 334-3571 |
Full Name | Matthew C Wylie |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 175 Nate Whipple Hwy Ste 102, Cumberland, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609053552 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 238920 (Massachusetts) | Secondary |
208000000X | Pediatrics | MD13917 (Rhode Island) | Primary |
Entity Name | Massachusetts General Physicians Organization Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
Entity Name | Mt Auburn Professional Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992750996 PECOS PAC ID: 6103725031 Enrollment ID: O20040527001374 |
Entity Name | Reliant Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720017528 PECOS PAC ID: 5597755322 Enrollment ID: O20040708000650 |
Entity Name | The General Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
Mailing Address | Practice Location Address |
---|---|
Matthew C Wylie, MD 175 Nate Whipple Hwy Ste 102, Cumberland, RI 02864-1422 Ph: (401) 334-5437 | Matthew C Wylie, MD 175 Nate Whipple Hwy Ste 102, Cumberland, RI 02864-1422 Ph: (401) 334-5437 |
Mrs. Maria Z Starakiewicz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2178 Mendon Rd, Suite 100, Cumberland, RI 02864 Phone: 401-333-5201 Fax: 401-333-5215 | |
Mr. Emilio James Monti Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2178 Mendon Rd, Suite 100, Cumberland, RI 02864 Phone: 401-333-5201 Fax: 401-333-5215 | |
Kristin A Grimes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 175 Nate Whipple Hwy Ste 102, Cumberland, RI 02864 Phone: 401-334-5437 Fax: 401-334-3571 | |
Pranati Jha, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2178 Mendon Rd, Suite 100, Cumberland, RI 02864 Phone: 401-333-5201 | |
Dr. Peter T Yasigian, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2 Meehan Ln, Cumberland, RI 02864 Phone: 401-658-2525 Fax: 401-658-3031 | |
Dr. Alexander Lee, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2 Meehan Ln, Cumberland, RI 02864 Phone: 401-658-2525 Fax: 401-658-3031 | |
Michelle Bornstein Bennett, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 175 Nate Whipple Hwy Ste 102, Cumberland, RI 02864 Phone: 401-334-5437 Fax: 401-334-3571 |