Transformation At River Oaks is a
Internal Medicine based in Flowood, Mississippi. Transformation At River Oaks is licensed to practice in * (Not Available) (license number ) and their current practice location is
2550 Flowood Dr, Suite 302, Flowood, Mississippi. It can be reached at their office (for appointments etc.) via phone at
(601) 936-1170.
NPI number for Transformation At River Oaks is 1619244589 and their current mailing address is 5811 Pelican Bay Blvd, Suite 500, Naples, Florida. Transformation At River Oaks
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1619244589.
Healthcare Provider's Profile
| Full Name | Transformation At River Oaks |
|---|
| Type | Facility |
|---|
| Speciality | Internal Medicine |
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| Location | 2550 Flowood Dr, Flowood, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619244589
- Provider Enumeration Date: 11/21/2011
- Last Update Date: 11/27/2012
Medical Identifiers
Medical identifiers for Transformation At River Oaks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619244589 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (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. Transformation At River Oaks 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 |
|---|
Transformation At River Oaks
5811 Pelican Bay Blvd, Suite 500,
Naples, FL 34108-2733
Ph: (239) 598-3131 | Transformation At River Oaks
2550 Flowood Dr, Suite 302,
Flowood, MS 39232-9303
Ph: (601) 936-1170 |
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