Green Spot Wellbeing Llc | |
100 Front Ave Indianola MS 38751-2461 | |
(662) 207-8595 | |
Not Available |
Full Name | Green Spot Wellbeing Llc |
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Speciality | Nurse Practitioner |
Location | 100 Front Ave, Indianola, Mississippi |
Authorized Official Name and Position | Martha P Catlette (PSYCH MH NURSE PRACTITIONER) |
Authorized Official Contact | 6622078595 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Green Spot Wellbeing Llc Po Box 304 Inverness MS 38753-0304 Ph: (662) 207-8595 | Green Spot Wellbeing Llc 100 Front Ave Indianola MS 38751-2461 Ph: (662) 207-8595 |
NPI Number | 1427693944 |
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Provider Enumeration Date | 11/07/2019 |
Last Update Date | 11/07/2019 |
Medicare PECOS PAC ID | 2769818731 |
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Medicare Enrollment ID | O20200211001307 |
Identifier | Type | State | Issuer |
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1427693944 | NPI | - | NPPES |
Provider Name | Martha Catlette |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275073157 PECOS PAC ID: 6608152178 Enrollment ID: I20170418000536 |
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