652 GEORGE WASHINGTON HWY UNIT 201
LINCOLN, RI 02865-4267 US PECOS Enrolled
Christopher J SuperczynskI
Internal Medicine Physician
- LINCOLN, RI
- Phone: (401)-353-5224
- Last Updated 6/25/2021
Overview
Christopher J SuperczynskI is a Internal Medicine Physician in the LINCOLN area and has over 27 years of experience. Christopher J SuperczynskI primary office location is at 652 GEORGE WASHINGTON HWY UNIT 201 and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1997
Christopher J SuperczynskI is affiliated with six hospitals in the LINCOLN area, including . The NPI number is 1184621138 and the information was updated approximately 3 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| MD10232 | RI |
| MD1032 | RI |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 7008326 | RI |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | RI | Y |
| Internal Medicine Physician - Taxonomy Code 207R00000X | RI | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20070706000285 |
| PECOS Individual PAC ID: | 7315844784 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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