MEDICARE: DR. CAROLINE S WILKEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZD0900X	Dermatopathology (Pathology) Physician	209200	MA
2	207N00000X	Dermatology Physician	RI7229	RI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	070015999	OTHER	RI	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	202353	OTHER	RI	BLUE CHIP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	0505152393002	OTHER	RI	UNITED HEALTHCARE
5	21994-1	OTHER	RI	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1215917299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROLINE S WILKEL M.D.

Provider Business Mailing Address
First Line	:	1822 NORTH MAIN STREET
Second Line	:	SUITE 302
City	:	FALL RIVER
State	:	MA
Zip	:	02720
Country	:	US
Telephone Number	:	508-235-1118
Fax Number	:	508-235-1119

Provider Business Practice Location Address
First Line	:	1822 N MAIN ST STE 302
Second Line	:
City	:	FALL RIVER
State	:	MA
Zip	:	02720-1350
Country	:	US
Telephone Number	:	508-235-1118
Fax Number	:	508-235-1119

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2006
Last Update Date	:	07/21/2022

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Directions to “ DR. CAROLINE S WILKEL M.D.” Practice Location

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