| Healthwise Psychiatry Partners Pllc | |
|
1217 Abernathy Way Mount Juliet TN 37122-4942 | |
| (314) 482-2169 | |
| Not Available |
| Full Name | Healthwise Psychiatry Partners Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1217 Abernathy Way, Mount Juliet, Tennessee |
| Authorized Official Name and Position | Osamudiamen Osa-edoh (PROPRIETOR) |
| Authorized Official Contact | 3144822169 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthwise Psychiatry Partners Pllc 1217 Abernathy Way Mount Juliet TN 37122-4942 Ph: (314) 482-2169 | Healthwise Psychiatry Partners Pllc 1217 Abernathy Way Mount Juliet TN 37122-4942 Ph: (314) 482-2169 |
| NPI Number | 1487248365 |
|---|---|
| Provider Enumeration Date | 02/22/2021 |
| Last Update Date | 02/22/2021 |
| Certification Date | 02/22/2021 |
| Medicare PECOS PAC ID | 6305253766 |
|---|---|
| Medicare Enrollment ID | O20210331001434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487248365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Osamudiamen Osa-edoh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841669009 PECOS PAC ID: 5799015087 Enrollment ID: I20190930002711 |
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