Michael C Coburn, MD is a
Psychiatry & Neurology - Addiction Medicine physician based in North Kingstown, Rhode Island. Michael C Coburn is licensed to practice in Rhode Island (license number MD08308) and his current practice location is 1950 Tower Hill Rd, North Kingstown, Rhode Island. He can be reached at his office (for appointments etc.) via phone at
(401) 559-3954.
NPI number for Michael C Coburn is 1720040728 and his current mailing address is 1950 Tower Hill Rd, North Kingstown, Rhode Island. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720040728.
Physician's Profile
| Full Name | Michael C Coburn |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Addiction Medicine |
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| Location | 1950 Tower Hill Rd, North Kingstown, Rhode Island |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720040728
- Provider Enumeration Date: 04/05/2006
- Last Update Date: 10/04/2025
Medical Identifiers
Medical identifiers for Michael C Coburn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1720040728 | NPI | - | NPPES |
| 005185 | Other | RI | BCBSRI/CHIP |
| 838-7 | Other | RI | BCBSRI |
| 7004684 | Medicaid | RI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | MD08308 (Rhode Island) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | MD08308 (Rhode Island) | Secondary |
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. Michael C Coburn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Michael C Coburn, MD 1950 Tower Hill Rd, North Kingstown, RI 02852-6639 Ph: (401) 559-3954 | Michael C Coburn, MD 1950 Tower Hill Rd, North Kingstown, RI 02852-6639 Ph: (401) 559-3954 |
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