| South County Walk In And Primary Care, Inc. | |
|
360 Kingstown Rd Suite 104 Narragansett RI 02882-3239 | |
| (401) 789-1086 | |
| (401) 789-5344 |
| Full Name | South County Walk In And Primary Care, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 360 Kingstown Rd, Narragansett, Rhode Island |
| Authorized Official Name and Position | Monica Louise Gross (OWNER) |
| Authorized Official Contact | 4017891086 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South County Walk In And Primary Care, Inc. 360 Kingstown Rd Suite 104 Narragansett RI 02882-3239 Ph: (401) 789-1086 | South County Walk In And Primary Care, Inc. 360 Kingstown Rd Suite 104 Narragansett RI 02882-3239 Ph: (401) 789-1086 |
| NPI Number | 1306816251 |
|---|---|
| Provider Enumeration Date | 01/24/2006 |
| Last Update Date | 06/20/2018 |
| Medicare PECOS PAC ID | 1254226186 |
|---|---|
| Medicare Enrollment ID | O20040218000981 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306816251 | NPI | - | NPPES |
| 407659 | Other | RI | BLUECHIP |
| 9000328 | Medicaid | RI | |
| 1962 | Other | RI | NHPRI |
| 22374-2 | Other | BCBS | |
| 44-00013 | Other | UNITED HEALTH PLAN | |
| 2464 | Other | RI | NHP |
| 111745 | Other | HEALTH PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD09154 (Rhode Island) | Primary |
| Provider Name | Diane Mckeeff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003816117 PECOS PAC ID: 1153372537 Enrollment ID: I20050202000819 |
| Provider Name | Monica L Gross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134129257 PECOS PAC ID: 8921066440 Enrollment ID: I20121003000091 |
| Provider Name | Tiffany Allen Zunum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922434489 PECOS PAC ID: 9931339462 Enrollment ID: I20140303001257 |
| Provider Name | Peter W Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164893574 PECOS PAC ID: 4587964275 Enrollment ID: I20151202001356 |
| Provider Name | Maria A. Como |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760044515 PECOS PAC ID: 8820421266 Enrollment ID: I20191126000155 |
Chiropractic Center Of South County,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Executive Bldg, 118 Point Judith Rd, Narragansett, RI 02882 Phone: 401-783-2937 Fax: 401-782-3620 | |
Silver Spring Health Care Management, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14 Woodruff Ave Ste 1, Narragansett, RI 02882 Phone: 401-789-8543 Fax: 401-782-8766 | |
Scmg Infectious Disease & Lyme Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14 Woodruff Ave Ste 1, Narragansett, RI 02882 Phone: 401-789-8543 Fax: 401-782-8766 | |
Stephen Maguire Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Kingstown Rd, Narragansett, RI 02882 Phone: 401-783-6940 | |
Kenneth J. Hathaway Do, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Kingstown Rd, Suite 101, Narragansett, RI 02882 Phone: 401-783-3334 Fax: 401-783-9270 |