Metacom Medical in Warren, RI - Internal Medicine

Metacom Medical is a Internal Medicine based in Warren, Rhode Island. Metacom Medical is licensed to practice in * (Not Available) (license number ) and their current practice location is 639 Metacom Ave, Warren, Rhode Island. It can be reached at their office (for appointments etc.) via phone at (401) 245-1500.

NPI number for Metacom Medical is 1629449210 and their current mailing address is 117 Ellenfield St, Suite 101, Providence, Rhode Island. Metacom Medical does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1629449210.

Contact Information

	Metacom Medical
	639 Metacom Ave, Warren, RI 02885-2348
	(401) 245-1500
	(401) 247-2618

Healthcare Provider's Profile

Full Name	Metacom Medical
Type	Facility
Speciality	Internal Medicine
Location	639 Metacom Ave, Warren, Rhode Island
Accepts Medicare Assignments	Does not participate in Medicare Program. The facility may not accept medicare assignment.

NPI Data:

NPI Number: 1629449210
Provider Enumeration Date: 10/08/2015
Last Update Date: 04/20/2023

Medical Identifiers

Medical identifiers for Metacom Medical such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629449210	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	(* (Not Available))	Secondary
207R00000X	Internal Medicine	(* (Not Available))	Primary
363L00000X	Nurse Practitioner	(* (Not Available))	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Metacom Medical is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Metacom Medical 117 Ellenfield St, Suite 101, Providence, RI 02905-4513 Ph: (401) 444-6779	Metacom Medical 639 Metacom Ave, Warren, RI 02885-2348 Ph: (401) 245-1500

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Metacom Medical - in Warren, RI