| West Bay Medical Group, Inc | |
|
215 Toll Gate Rd Suite 303 Warwick RI 02886-4458 | |
| (401) 468-8111 | |
| Not Available |
| Full Name | West Bay Medical Group, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 215 Toll Gate Rd, Warwick, Rhode Island |
| Authorized Official Name and Position | Sunil P Verma (PRESIDENT) |
| Authorized Official Contact | 4014688111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Bay Medical Group, Inc 60 Lindsay Ln Cranston RI 02921-3562 Ph: (401) 468-8111 | West Bay Medical Group, Inc 215 Toll Gate Rd Suite 303 Warwick RI 02886-4458 Ph: (401) 468-8111 |
| NPI Number | 1366898223 |
|---|---|
| Provider Enumeration Date | 05/10/2016 |
| Last Update Date | 05/10/2016 |
| Medicare PECOS PAC ID | 7810283983 |
|---|---|
| Medicare Enrollment ID | O20160916000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366898223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD10322 (Rhode Island) | Primary |
| Provider Name | Sunil Paul Verma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710966775 PECOS PAC ID: 0749188977 Enrollment ID: I20031230000675 |
| Provider Name | Kate Chadwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619291176 PECOS PAC ID: 7810182425 Enrollment ID: I20101109000800 |
| Provider Name | Jainis Thorpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922703974 PECOS PAC ID: 4082076781 Enrollment ID: I20230811002464 |
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