Scmg Pulmonary & Sleep Clinic - Medicare Primary Care in Wakefield, RI

Scmg Pulmonary & Sleep Clinic is a medicare enrolled primary clinic (Internal Medicine - Pulmonary Disease) in Wakefield, Rhode Island. The current practice location for Scmg Pulmonary & Sleep Clinic is 100 Kenyon Ave, Wakefield, Rhode Island. For appointments, you can reach them via phone at (401) 788-1127. The mailing address for Scmg Pulmonary & Sleep Clinic is Po Box 229, Wakefield, Rhode Island and phone number is (401) 788-8757.

Scmg Pulmonary & Sleep Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1295105294. 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) 788-1127.

Contact Information

Scmg Pulmonary & Sleep Clinic
100 Kenyon Ave
Wakefield
RI 02879-4216
(401) 788-1127
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameScmg Pulmonary & Sleep Clinic
SpecialityInternal Medicine
Location100 Kenyon Ave, Wakefield, Rhode Island
Authorized Official Name and PositionMarcia T Polhemus (CONTROLLER)
Authorized Official Contact4017881974
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Scmg Pulmonary & Sleep Clinic
Po Box 229
Wakefield
RI 02880-0229

Ph: (401) 788-8757
Scmg Pulmonary & Sleep Clinic
100 Kenyon Ave
Wakefield
RI 02879-4216

Ph: (401) 788-1127

NPI Details:

NPI Number1295105294
Provider Enumeration Date10/02/2015
Last Update Date02/10/2022

Medicare PECOS Information:

Medicare PECOS PAC ID4688661127
Medicare Enrollment IDO20151215002699

Medical Identifiers

Medical identifiers for Scmg Pulmonary & Sleep Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295105294NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
207RC0200XInternal Medicine - Critical Care Medicine (* (Not Available))Secondary
207RP1001XInternal Medicine - Pulmonary Disease (* (Not Available))Primary
207RS0012XInternal Medicine - Sleep Medicine (* (Not Available))Secondary
207Y00000XOtolaryngology (* (Not Available))Secondary
261QS1200XClinic/center - Sleep Disorder Diagnostic (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Scmg Pulmonary & Sleep Clinic acts as a billing entity for following providers:
Provider NamePatricia M Russo- Magno
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184609422
PECOS PAC ID: 9234189093
Enrollment ID: I20050128000704
Provider NameRakesh Gupta
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1639120561
PECOS PAC ID: 6204874027
Enrollment ID: I20050421001333
Provider NameBashar Bash
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1598797037
PECOS PAC ID: 7911947973
Enrollment ID: I20050509001024
Provider NameKhalid Alhourani
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1831232636
PECOS PAC ID: 8426101478
Enrollment ID: I20090808000108
Provider NameJason C Graff
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316973100
PECOS PAC ID: 6406856277
Enrollment ID: I20210615003122
Provider NameTheodore Delmonico
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1376806943
PECOS PAC ID: 6204109630
Enrollment ID: I20221006000105

Reviews and Comments


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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.