Northeast Internal Medicine, Inc. - Medicare Primary Care in Pawtucket, RI

Northeast Internal Medicine, Inc. is a medicare enrolled primary clinic (Internal Medicine) in Pawtucket, Rhode Island. The current practice location for Northeast Internal Medicine, Inc. is 126 Prospect St, Suite 103, Pawtucket, Rhode Island. For appointments, you can reach them via phone at (401) 725-8866. The mailing address for Northeast Internal Medicine, Inc. is 126 Prospect St Ste 205, Pawtucket, Rhode Island and phone number is (401) 725-8866.

Northeast Internal Medicine, Inc. is licensed to practice in Rhode Island (license number MD10628). The clinic also participates in the medicare program and its NPI number is 1376746156. 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) 725-8866.

Contact Information

Northeast Internal Medicine, Inc.
126 Prospect St
Suite 103
Pawtucket
RI 02860-4476
(401) 725-8866
(401) 725-8868

Primary Care Clinic Profile

Full NameNortheast Internal Medicine, Inc.
SpecialityInternal Medicine
Location126 Prospect St, Pawtucket, Rhode Island
Authorized Official Name and PositionSadia Iftikhar (DIRECTOR)
Authorized Official Contact4017258866
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Northeast Internal Medicine, Inc.
126 Prospect St Ste 205
Pawtucket
RI 02860-4429

Ph: (401) 725-8866
Northeast Internal Medicine, Inc.
126 Prospect St
Suite 103
Pawtucket
RI 02860-4476

Ph: (401) 725-8866

NPI Details:

NPI Number1376746156
Provider Enumeration Date06/07/2007
Last Update Date03/11/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5092807818
Medicare Enrollment IDO20070824000568

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Medical Identifiers

Medical identifiers for Northeast Internal Medicine, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376746156NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD10628 (Rhode Island)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Northeast Internal Medicine, Inc. acts as a billing entity for following providers:
Provider NameJiaying Wen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275570921
PECOS PAC ID: 5193817948
Enrollment ID: I20070823000888

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Provider NameSadia Iftikhar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730257957
PECOS PAC ID: 8628160470
Enrollment ID: I20070823000907

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