Sea Gate Wellness Llc is a
Clinic/center based in Johnson City, Tennessee. Sea Gate Wellness Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
2020 Indian Ridge Rd Apt 206, Johnson City, Tennessee. It can be reached at their office (for appointments etc.) via phone at
(727) 593-4149.
NPI number for Sea Gate Wellness Llc is 1033717780 and their current mailing address is 2020 Indian Ridge Rd Apt 206, Johnson City, Tennessee. Sea Gate Wellness Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1033717780.
Healthcare Provider's Profile
| Full Name | Sea Gate Wellness Llc |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center |
|---|
| Location | 2020 Indian Ridge Rd Apt 206, Johnson City, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033717780
- Provider Enumeration Date: 10/14/2020
- Last Update Date: 10/14/2020
Medical Identifiers
Medical identifiers for Sea Gate Wellness Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033717780 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | 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. Sea Gate Wellness Llc 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 |
|---|
Sea Gate Wellness Llc
2020 Indian Ridge Rd Apt 206,
Johnson City, TN 37604-4299
Ph: (727) 593-4149 | Sea Gate Wellness Llc
2020 Indian Ridge Rd Apt 206,
Johnson City, TN 37604-4299
Ph: (727) 593-4149 |
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