| Encompass Family Medicine | |
|
126 Prospect St Ste 202 Pawtucket RI 02860 | |
| (508) 847-5884 | |
| Not Available |
| Full Name | Encompass Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 126 Prospect St Ste 202, Pawtucket, Rhode Island |
| Authorized Official Name and Position | Asha Srinath (PRACTICE MANAGER) |
| Authorized Official Contact | 4017289208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Encompass Family Medicine 126 Prospect St Ste 202 Pawtucket RI 02860-4429 Ph: (401) 728-9208 | Encompass Family Medicine 126 Prospect St Ste 202 Pawtucket RI 02860 Ph: (508) 847-5884 |
| NPI Number | 1659882504 |
|---|---|
| Provider Enumeration Date | 10/18/2017 |
| Last Update Date | 07/19/2018 |
| Medicare PECOS PAC ID | 9739434267 |
|---|---|
| Medicare Enrollment ID | O20180625000091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659882504 | NPI | - | NPPES |
| Provider Name | Suryadutt Venkat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376700039 PECOS PAC ID: 3072648344 Enrollment ID: I20180627000902 |
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