Duane T Golomb Md Inc is a medicare enrolled primary clinic (Family Medicine) in Corentry, Rhode Island. The current practice location for Duane T Golomb Md Inc is 766 Washington St, Corentry, Rhode Island. For appointments, you can reach them via phone at
(401) 822-2772. The mailing address for Duane T Golomb Md Inc is 766 Washington St, Corentry, Rhode Island and phone number is (401) 822-2772.
Duane T Golomb Md Inc is licensed to practice in Rhode Island (license number 6442). The clinic also participates in the medicare program and its
NPI number is 1912000894. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(401) 822-2772.
Primary Care Clinic Profile
| Full Name | Duane T Golomb Md Inc |
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| Speciality | Family Medicine |
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| Location | 766 Washington St, Corentry, Rhode Island |
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| Authorized Official Name and Position | Duane Thomas Golomb (PRESIDENT) |
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| Authorized Official Contact | 4018222772 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Duane T Golomb Md Inc
766 Washington St
Corentry
RI 02816
Ph: (401) 822-2772 | Duane T Golomb Md Inc
766 Washington St
Corentry
RI 02816
Ph: (401) 822-2772 |
NPI Details:
| NPI Number | 1912000894 |
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| Provider Enumeration Date | 09/06/2006 |
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| Last Update Date | 08/22/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 6406813062 |
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| Medicare Enrollment ID | O20041215000297 |
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Medical Identifiers
Medical identifiers for Duane T Golomb Md Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912000894 | NPI | - | NPPES |
| 7006908 | Medicaid | RI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 6442 (Rhode Island) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Duane T Golomb Md Inc acts as a billing entity for following providers:
| Provider Name | Duane T Golomb |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1801924170
PECOS PAC ID: 3476538315
Enrollment ID: I20040623000967 |
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