Jeffrey Wilson, MD - Medicare Family Practice in Cranston, RI

Jeffrey Wilson, MD is a medicare enrolled "Family Medicine" physician in Cranston, Rhode Island. He went to Hahnemann University College Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Family Health And Sports Medicine Llc and his current practice location is 725 Reservoir Ave, Suite 102, Cranston, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 943-6910.

Jeffrey Wilson is licensed to practice in Rhode Island (license number 10483) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134113749.

Contact Information

Jeffrey Wilson, MD
725 Reservoir Ave, Suite 102,
Cranston, RI 02910-4448
(401) 943-6910
(401) 946-5130

Map and Direction




Physician's Profile

Full NameJeffrey Wilson
GenderMale
SpecialityFamily Practice
Experience26 Years
Location725 Reservoir Ave, Cranston, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jeffrey Wilson attended and graduated from Hahnemann University College Of Medicine in 1998
  NPI Data:
  • NPI Number: 1134113749
  • Provider Enumeration Date: 09/09/2005
  • Last Update Date: 04/11/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2769433945
  • Enrollment ID: I20050204000337

Medical Identifiers

Medical identifiers for Jeffrey Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134113749NPI-NPPES
104830OtherRITUFTS
0102498OtherRIUNITED HEALTHCARE
409056OtherRIBLUE CHIP
23507-1OtherRIBLUE CROSS
62308OtherRICIGNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 10483 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home Health CareWarwick, RIHome health agency
Rhode Island HospitalProvidence, RIHospital
The Miriam HospitalProvidence, RIHospital
Kent County Memorial HospitalWarwick, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Family Health And Sports Medicine Llc47898095914

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jeffrey Wilson allows following entities to bill medicare on his behalf.
Entity NameFamily Health & Sports Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275955718
PECOS PAC ID: 4789809591
Enrollment ID: O20140711001307

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeffrey Wilson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jeffrey Wilson, MD
70 Glen Ave,
Cranston, RI 02905-3702

Ph: (401) 941-5053
Jeffrey Wilson, MD
725 Reservoir Ave, Suite 102,
Cranston, RI 02910-4448

Ph: (401) 943-6910

Reviews and Comments


Family Medicine Doctors in Cranston, RI

Dr. Mark Rosenberg, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 725 Reservoir Ave, Suite 102, Cranston, RI 02910
Phone: 401-943-6910    Fax: 401-946-5130
Jacob Martin Beane, PA-C
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 712 Oaklawn Ave, Cranston, RI 02920
Phone: 401-944-0044    
Dr. Jeanne Wrean Swen, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1660 Broad St, Cranston, RI 02905
Phone: 401-784-6963    Fax: 401-784-9087
Amity Rubeor, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 65 Sockanosset Cross Rd Ste 301, Cranston, RI 02920
Phone: 401-943-6910    Fax: 401-946-5130
Kathryne Anne Leonard, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 922 Reservoir Ave, Cranston, RI 02910
Phone: 401-946-0884    
Sukanya Somasundar, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Pontiac Ave, Cranston, RI 02920
Phone: 401-944-4300    Fax: 401-464-4071

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.