Wellness One Memphis Pc is a medicare enrolled "Family Medicine - Sports Medicine" provider in Memphis, Tennessee. Their current practice location is
6100 Primacy Pkwy Ste 112, Memphis, Tennessee. You can reach out to their office (for appointments etc.) via phone at
(901) 682-5335.
Wellness One Memphis Pc is licensed to practice in Texas (license number MD430532) and it also participates in the medicare program. Wellness One Memphis Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1124497730.
Healthcare Provider's Profile
| Full Name | Wellness One Memphis Pc |
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| Type | Facility |
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| Speciality | Family Medicine - Sports Medicine |
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| Location | 6100 Primacy Pkwy Ste 112, Memphis, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1124497730
- Provider Enumeration Date: 09/24/2015
- Last Update Date: 09/24/2015
Medicare PECOS Information:
- PECOS PAC ID: 7911266408
- Enrollment ID: O20180108002392
Medical Identifiers
Medical identifiers for Wellness One Memphis Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124497730 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | DC1171 (Tennessee) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | MD430532 (Texas) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | APN17897 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APN2519467 (Tennessee) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Wellness One Memphis Pc acts as a billing entity for following providers:
| Provider Name | Timothy J Callaghan |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1548476252
PECOS PAC ID: 0042202780
Enrollment ID: I20100217000272 |
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| Provider Name | Amy Leigh White |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1407358039
PECOS PAC ID: 2062844848
Enrollment ID: I20191115002376 |
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| Provider Name | Rebecca Friedman Novick |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1114331097
PECOS PAC ID: 2163640020
Enrollment ID: I20230113001620 |
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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. Wellness One Memphis Pc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Wellness One Memphis Pc
6100 Primacy Pkwy Ste 112,
Memphis, TN 38119-0705
Ph: (901) 682-5335 | Wellness One Memphis Pc
6100 Primacy Pkwy Ste 112,
Memphis, TN 38119-0705
Ph: (901) 682-5335 |
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