| Beyond Wellness Pllc | |
|
10451 Mill Run Cir Ste 400 Owings Mills MD 21117-5594 | |
| (833) 759-8720 | |
| (833) 428-7418 |
| Full Name | Beyond Wellness Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10451 Mill Run Cir Ste 400, Owings Mills, Maryland |
| Authorized Official Name and Position | Lisa Anderson (PRESIDENT) |
| Authorized Official Contact | 8337598720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond Wellness Pllc Po Box 30085 Las Vegas NV 89173-0085 Ph: (833) 759-8720 | Beyond Wellness Pllc 10451 Mill Run Cir Ste 400 Owings Mills MD 21117-5594 Ph: (833) 759-8720 |
| NPI Number | 1467203000 |
|---|---|
| Provider Enumeration Date | 04/01/2024 |
| Last Update Date | 01/22/2025 |
| Certification Date | 01/22/2025 |
| Medicare PECOS PAC ID | 8729520598 |
|---|---|
| Medicare Enrollment ID | O20240827000266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467203000 | NPI | - | NPPES |
| Provider Name | Zachariah Jon Jensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184128175 PECOS PAC ID: 9234534322 Enrollment ID: I20240827000474 |
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