Ms Jacqueline Odessa Wells, MASSAGE THERAPIST is a
Massage Therapist based in Eatonton, Georgia. Ms Jacqueline Odessa Wells is licensed to practice in Georgia (license number MT009249) and her current practice location is
109 Lower Harmony Rd Lot 4, Lot # 4, Eatonton, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 816-3499.
NPI number for Ms Jacqueline Odessa Wells is 1336575067 and her current mailing address is 109 Lower Harmony Rd Lot 4, Eatonton, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336575067.
Healthcare Provider's Profile
| Full Name | Ms Jacqueline Odessa Wells |
|---|
| Gender | Female |
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| Speciality | Massage Therapist |
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| Location | 109 Lower Harmony Rd Lot 4, Eatonton, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336575067
- Provider Enumeration Date: 09/26/2013
- Last Update Date: 09/26/2013
Medical Identifiers
Medical identifiers for Ms Jacqueline Odessa Wells such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336575067 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MT009249 (Georgia) | Primary |
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. Ms Jacqueline Odessa Wells 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 |
|---|
Ms Jacqueline Odessa Wells, MASSAGE THERAPIST
109 Lower Harmony Rd Lot 4,
Eatonton, GA 31024-6062
Ph: () - | Ms Jacqueline Odessa Wells, MASSAGE THERAPIST
109 Lower Harmony Rd Lot 4, Lot # 4,
Eatonton, GA 31024-6062
Ph: (706) 816-3499 |
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